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The Official Scientific Journal of Delhi Ophthalmological Society
Bilateral Shallow Anterior Chamber And Transient Myopia As A Presenting Feature Of Vogt Koyanagi Harada Syndrome
Rahul Kumar Sharma, Abhishek Dagar, Vivek Kumar
Vitreo-Retina Department, Venu Eye institute & Research Center, New Delhi, India
Corresponding Author:
Rahul Kumar Sharma
MS, FICO
Fellow Vitreo-Retina Department, 
Venu Eye institute & Research Center
 New Delhi, India.
Email id: rahulsharma1253@gmail.com
Published Online: 30-APR-2018
DOI: http://dx.doi.org/10.7869/djo.357
Abstract
The Vogt-Koyanagi-Harada (VKH) syndrome is a rare systemic disorder of uveitis, dysacousia, vitiligo, premature greying of the hair, eyebrow and eyelashes, and meningoencephalitis. We report a case of a 36 year old type 2 diabetic patient who presented with sudden, painless, progressive blurring of vision in both eyes with shallow anterior chamber and transient myopia. He had history of headache, mild fever, malaise with stiffness in neck and back one week before blurring of vision. Exudative retinal detachment on fundus examination along with optical coherence tomography (OCT) features and fundus fluorescein angiogram (FFA) pattern confirmed our diagnosis as incomplete VKH. The patient responded well with steroid (systemic and topical) and cycloplegic drug. This case highlights the importance of history, careful ocular evaluation, judicious use of OCT and FFA in a patient presenting with bilateral shallow anterior chamber and transient myopia to narrow down the differential diagnosis as incomplete VKH.
Keywords : anterior chamber, transient myopia, Harada syndrome
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