Abstract

This case report reviews a 14-year-old girl's 2-year follow-up after she initially presented with sudden, defective vision in both eyes for 12 days and a BCVA of OU 6/24 P. She was treated outside as a case of acute retinal necrosis with oral antivirals. Upon examination, the anterior segment revealed evidence of bilateral non-granulomatous uveitis and cataract. Fundus examination revealed, bilateral disc edema, tortuous vessels, and exudative retinal detachment. Bscan, OCT, and FFA/ICG retinal imaging revealed VKH-specific characteristics. She was then started on IV methylprednisolone with oral tapering, followed by immunosuppressive therapy over 2 years. Vision improved to OU 6/9. She developed PEDs over the course of treatment, therefore close observation for secondary complications like CNVM and CSCR due to high-dose steroid therapy was done. The prognosis of VKH in the pediatric population is variable. maybe owing to the delay in diagnosis and thus starting treatment.