Vogt-Koyanagi-Harada in a Kadazan female

Abstract

Objective: To report a case of Vogt-Koyanagi-Harada in a Kadazan girl, a member of an indigenous race of the state of Sabah, Malaysia.

Methods: This is a case report.

Results: A 23-year-old Kadazan female presented with bilateral sudden blurring of vision of two days duration associated with ocular pain, metamorphopsia, and severe headaches. Examination revealed bilateral visual acuities of 6/18 correctable to 6/12, 1+ anterior-chamber cells, and multifocal areas of exudative retinal detachments. A diagnosis of Vogt-Koyanagi-Harada (VKH) syndrome was made after excluding other differential diagnoses. She was treated with intravenous methylprednisolone with good outcome.

Conclusion: The treatment for VKH is well established, requiring the use of oral steroids in most cases. In severe cases, high-dose intravenous methylprednisolone is recommended. Early diagnosis and aggressive treatment improve outcome in VKH.