Vogt Koyanagi Harada disease following a recent COVID-19 infection
Eliza Anthony, Archana Rajamani, Prabu Baskaran, Anand Rajendran
Abstract
A 23-year-old female presented with a 3-day history of bilateral (OU) diminution of vision 3 weeks after COVID-19 infection. Best corrected visual acuity (BCVA) was 20/30 in right eye and 20/40 in left eye. Anterior segment showed OU 1+ cells in anterior chamber and anterior vitreous face. Fundus OU showed disc hyperemia and multiple pockets of subretinal fluid (SRF), confirmed on optical coherence tomography. Fundus fluorescein angiography showed multiple pin point leaks suggestive of Vogt Koyanagi Harada disease. Oral corticosteroids 1 mg/kg/day were started. At 2-months' follow-up, her BCVA improved to 20/25 OU with complete resolution of SRF.
Topics & Concepts
MedicineVogt–Koyanagi–Harada diseaseOphthalmologyFluorescein angiographyFundus (uterus)Fundus fluorescein angiographyVisual acuityCoronavirus disease 2019 (COVID-19)Optical coherence tomographySurgeryUveitisDiseasePathologyInfectious disease (medical specialty)Ocular Diseases and Behçet’s SyndromeRetinal and Optic ConditionsRetinal Diseases and Treatments