AlQahtani Dhabiah Saeed, Al Shamrani Mohammed
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Department of Pediatric Ophthalmology, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia.
Middle East Afr J Ophthalmol. 2019 Aug 26;26(2):117-119. doi: 10.4103/meajo.MEAJO_244_18. eCollection 2019 Apr-Jun.
Vogt-Koyanagi-Harada (VKH) disease is a chronic, bilateral, granulomatous panuveitis associated with cutaneous, neurologic, and auditory manifestations. We report a 4-year-old Saudi boy who developed severe ocular complications by 5 years of age. He presented to King Khalid Eye Specialist Hospital at the age of 4 years and was previously operated on elsewhere for cataract with intraocular lens implantation in his right eye at the age of 3 years. He consecutively had iris capture and membrane formation around the intraocular lens. Examination revealed band keratopathy, posterior synechiae, and fundus depigmentation in both eyes with cataract formation in his left eye. At the age of 5.5 years, he developed subretinal neovascular membrane formation in the left eye. To the best of our knowledge, this patient is youngest VKH case that manifested most of the major complications at a young age as 5 years old.
伏格特-小柳-原田（VKH）病是一种慢性、双侧性、肉芽肿性全葡萄膜炎，伴有皮肤、神经和听觉表现。我们报告一名4岁沙特男孩，他在5岁时出现了严重的眼部并发症。他4岁时就诊于哈利德国王眼科专科医院，3岁时曾在其他地方接受过右眼白内障摘除及人工晶状体植入手术。此后，他相继出现虹膜粘连和人工晶状体周围膜形成。检查发现双眼有带状角膜病变、虹膜后粘连和眼底色素脱失，左眼形成白内障。5.5岁时，他左眼出现视网膜下新生血管膜形成。据我们所知，该患者是最年轻的VKH病病例，在5岁时就出现了大多数主要并发症。
