Zeitschrift für klinische und experimentelle Ophthalmologie
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Case Report of an Unusual Presentation of Vogt-Koyanagi-Harada Disease as Bilateral Acute Angle Closure

Sayali S Bhedasgaonkar, Himani Manral, Snehal U Nadkarni

Vogt-Koyanagi-Harada disease (VKH) is a relatively uncommon entity encountered in Indian clinical ophthalmic practice. Acute angle closure is an easy to miss presenting feature of the disease. Our patient had classical history, symptoms and signs of acute angle closure crisis in both eyes. Ophthalmic evaluation including imaging helped in reaching a diagnosis and marked improvement was noted once corticosteroids were started. Initiation of immunosuppressive therapy helped in stabilizing the ocular lesions and improving visual acuity. Thus one may bear in mind VKH as an important differential diagnosis when faced with a case of bilateral acute angle closure.