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Bilateral Iris depigmentation, transillumination defects and hypotony in Vogt–Koyanagi–Harada disease

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Vogt–Koyanagi–Harada (VKH) disease is a potentially sight‐threatening condition that affects the pigmented tissues of the body. The disease is diagnosed based on meticulous anterior and posterior segment examination augmented by… Click to show full abstract

Vogt–Koyanagi–Harada (VKH) disease is a potentially sight‐threatening condition that affects the pigmented tissues of the body. The disease is diagnosed based on meticulous anterior and posterior segment examination augmented by the use of investigations. But several cases are misdiagnosed as anterior uveitis leading to inadequate management. Such patients have a very grave prognosis and not much can be done at that stage for their benefit. We report such a case which was inadequately managed, eventually leading to irreversible vision loss. We also outline rarely documented findings in a case of late presentation of VKH, namely, iris depigmentation and transillumination defects with ocular hypotony.

Keywords: depigmentation transillumination; disease; iris depigmentation; koyanagi harada; vogt koyanagi; transillumination defects

Journal Title: Indian Journal of Ophthalmology
Year Published: 2022

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