Abstract

Purpose:Report a case of secondary IIH with VKH
CASE REPORT:40yr,HTN female K/C/O granulomatous uveitis since 8months,on systemic steroids on &off without complete recovery,diagnosed with VKH 45days back with worsening of symptoms,started on systemic steroids,after 25days patient developed headache and diagnosed as IIH with MRI-flattened optic disc,prominent CSF spaces around optic nerve,empty sella,raised ICT for which advised to taper &stop steroid 2week ago,presented to us with BE DOV aggravated since1week,BE BCVA6/18,Vitreous cells,fundus-disc & macular edema,multiple SRF pocket,OCT-RPE undulation,SRF pockets,VF -patchy reduced retinal threshold seen after 1week of stoppage of steroids. Patient started on immunosuppressants
RESULT:secondary IIH ?steroid induced with VKH
CONCLUSION:Use of chronic systemic steroids in VKH should be cautious as secondary Idiopathic intracranial hypertension is one of the complication .Immunosuppressants can be considered for treating chronic VKH