Dr.Satvir Singh, Dr.Monika Dahiya, DR. MANOJ SHETTIGAR
Abstract
47 year old female presented with sudden painless loss of vision in both eyes associated with hearing loss and ringing sensation in ears. Her BCVA was FCCF with normal pupillary reactions. On slit lamp examination, circumciliary congestion with fine KPs, 3+AC reaction and occasional cells in vitreous were present. Fundus examination showed inferior exudative RD with macular oedema in both eyes. USG B scan showed exudative retinal detachment with diffuse posterior choroid thickening bilaterally. On OCT, massive subretinal fluid with RD and increased macular thickness was seen. She was diagnosed as partial VKH and managed with 1 gm IV methylprednisolone for 3 days. Topical steroids and cycloplegics were given and 80 mg wysolone was started orally. On 1 month follow up, her BCVA was 6/24 in both eyes and 1+ cells in AC. There was no exudative RD and macular oedema on fundus examination. Correct diagnosis and early intervention in VKH patients can help in restoration of vision.
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