Vogt Koyanagi Harada disease following a recent COVID-19 infection

Indian J Ophthalmol. 2022 Feb;70(2):670-672. doi: 10.4103/ijo.IJO_2550_21.

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.

Keywords: Bacillary layer detachment; COVID-19; VKH; subretinal fluid.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • COVID-19*
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • SARS-CoV-2
  • Tomography, Optical Coherence
  • Uveomeningoencephalitic Syndrome* / diagnosis
  • Uveomeningoencephalitic Syndrome* / drug therapy
  • Visual Acuity
  • Young Adult