摘要
A 34 years old male patient presented to us on 15th February 2015,with complaints of mild pain in right eye and a foreign body sensation to the left eye,associated with redness,discomfort and blurring of vision with 4 days duration.There was history of a penetrating eye injury to his right eye 20 years ago.Examination showed bilaterally inflamed eyes.The right eye was going into phthisis bulbi.Fundus examination of the left eye showed blurred optic disc with hemorrhagic areas,macular edema and exudative retinal detachments.Systemic review did not show any gross skin changes,neurological signs or dysmorphism.He was initially treated as sympathetic ophthalmitis,but the history and examination noted that he had bilateral sensory neural hearing loss.Fundus fluorescein angiography showed that he had hyperfluorescent spots in the fundus.Thus,the diagnosis was changed to Vogt-Koyanagi-Harada disease.The patient was treated with oral steroids(1 mg/kg per day)and subsequent follow up showed a marked improvement in the ocular findings.
