DR. PRIYANKA GANDHI

DR. SYED FARAAZ HUSSAIN

Abstract

VKH is rare autoimmune multisystem disease. A 45 y/F went to tertiary care with left sided headache and sudden diminution of vision in left eye(LE) since 1 day. She was advised lumbar puncture but became apprehensive and came to us with visual acuity(VA) 6/6 in right eye(RE) and HMCF PL +, PR accurate in LE. LE showed lid edema, mild conjunctival congestion, vitritis, disc edema, choroidal detachment and exudative retinal detachment(ERD) involving macula. Patient was suspected to have incomplete VKH. Neurologic, ENT and dermatology consults were taken. The patient was counseled about systemic issue, possibility of other eye involvement later and need of team based approach. Patient was started on steroids. At 6 months, VA in RE – 6/36 and in LE – 6/60, RE showed pocket of ERD. Asymmetric involvement of both eyes is an infrequent presentation highlighting the necessity of comprehensive approach along with diligent patient counseling for allaying fears.