Abstract

Vogt Koyanagi Harada (VKH) disease is a rare multisystem inflammatory disorder affecting young adults, presenting as bilateral granulomatous panuveitis with serous retinal detachment in its ophthalmic menifestations.
We hereby, present a series of 3 cases of acute VKH disease presenting in paediatric age group (less than 18 years) from the same geographical area.
All three patients presented with bilateral visual loss within 2 weeks of onset. Clinical examination revealed multifocal areas of subretinal yellow lesions and exudative detachment. Ancillary testing (OCT and FFA) confirmed the characteristic features of VKH. Intravenous pulse methylprednisolone followed by tapering oral steroids alongwith azathioprine was given.
Complete resolution of symptoms with good visual recovery was noted in all three patients which was maintained on last follow up visit of 6 months.
The uniqueness of the case series highlights the geographical distribution and prompt response to aggressive treatment