Vogt-konayagi- Harada disease: A Case Report
Journal Title: Malla Reddy Medical College For Women Journal Of Medical Sciences - Year 2019, Vol 2, Issue 1
Abstract
Vogt-Koyanagi-Harada (VKH) Disease is an autoimmune inflammatory disorder, with ocular, auditory, integumentary and neurologic involvement. VKH disease has a genetic predisposition, and is seen mostly in Asian, Middle Eastern, Hispanic, and Native American populations. A 36 year old female presented to our OPD with the complaint of diminution of vision and some shadows in the right eye for fifteen days. Fundus examination of right eye (slit lamp biomicroscopy and indirect ophthalmoscopy) showed optic disc to be hyperemic with blurred margins, Inter Limiting Membrane thrown into folds, fullness of the macula and multiple shallow rounded elevations in the posterior pole. High-steroid pulse therapy (Intravenous Methyl Prednisolone 1gm for three days) was given followed by posterior subtenon’s triamcinolone acetonide (40 mg) in the right eye. Patient was started on oral Azathioprine 50 mg morning and evening. The patient was feeling good with improvement in vision starting one week after IV MP was given. At the last follow-up examination, two months after starting treatment, the vision was 6/6 in both the eyes. Right eye fundus showed, a totally attached retina with normal disc. Optical Coherence Tomography showed, normal foveal contour, with complete reabsorption of subretinal fluid, normal retinal layers and normal RPE/Choroid layers.
Authors and Affiliations
Sikander A. K. Lodhi
Keywords
Related Articles
- EP ID EP589304
- DOI -
- Views 66
- Downloads 0
Etiology Of Chronic Suppurative Otitis Media In A Medical College Hospital
To study the pattern of Chronic Suppurative Otitis Media caused by the aerobic bacteria and to determine the antibiotic sensitivity of the isolated organisms. The ear discharge from one hundred patients with the clinical...
Evaluation of Cardiovascular Risk Factors in Psoriasis with Special Reference to Highly Sensitive C - Reactive Protein
Background: Psoriasis is a chronic, multisystem, immune mediated, inflammatory disease characterized by epidermal hyper proliferation, abnormal keratinocyte differentiation, angiogenesis with blood vessel dilatation and...
Clinico-Epidemiological Study Of Diphtheria Cases In Hyderabad, India
BACKGROUND: Among the acute infectious diseases, with high morbidity and mortality Diphtheria is placed a unique position especially in developing countries. During 1987 before full coverage immunization the number of ca...
Rare Case of Fever of Unknown Origin - Scrub Typhus
FUO (Fever of unknown origin) has multiple causes, Scrub typhus is less known cause of FUO in India. There was high mortality in undiagnosed cases of FUO which lead to diagnosis of scrub typhus. Scrub Typhus is a rickett...
Effects Of Sitali And Sitkari Pranayama On Essential Hypertension.
BACKGROUND: Hypertension is a chronic medical condition in which systemic arterial blood pressure is elevated. Nearly billion people are suffering from this condition, world wide. Around 2/5th of Indian urban Adult popul...