A 13-YEAR-OLD Israeli girl of Moroccan ancestry was referred for the
evaluation of chronic bilateral panuveitis. Four years earlier she had developed
diffuse vitiligo after sustaining a severe sunburn (Figure 1). Four months prior to her initial symptoms, she noted
the onset of severe headaches and decreased visual acuity. An ophthalmic evaluation
revealed anterior uveitis, elevated intraocular pressure, and ultrasonographic
evidence of bilateral vitritis. Treatment consisted of topical dexamethasone
sodium phosphate, timolol, and laser iridotomy for iris bombé in the
right eye. There was no history of ocular trauma or surgery.
Suhler EB, Buggage RR, Nussenblatt RB, Neumann R. Symmetric Peripheral Iris Depigmentation in Vogt-Koyanagi-Harada Syndrome. Arch Ophthalmol. 2002;120(8):1104–1105. doi:10.1001/archopht.120.8.1104
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