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July 1959

Exudative Type of Retinal Separation: A Case of Harada's Disease in an Eight-Year-Old

Author Affiliations

New York
From the service of Dr. Paul Chandler, Massachusetts Eye and Ear Infirmary, with the help of Dr. Alan Butler and Dr. K. K. Kimura of the Department of Pediatrics of the Massachusetts General Hospital and Harvard Medical School.

AMA Arch Ophthalmol. 1959;62(1):5-12. doi:10.1001/archopht.1959.04220010009002

Harada's disease1 is rarely seen in America, and of those cases reported by Cordes,2 the majority were in persons from highly pigmented races and all were in adults. The following case is reported in detail because it is unique in the age of onset and in severity of symptoms. The progress of the case over a four-year period, as well as the response to oral steroid therapy, will be described. An 8½-year-old white girl developed a severe cold with fever and coughing. At the onset her parents noted some redness of the eyes and possible swelling of the lids. The symptoms of the cold subsided one week later, but the patient noted some photophobia and blurring of vision. Over the next week vision progressively diminished to the point where school work became impossible, and the patient saw large "bubbles" in front of her eyes. Her pediatrician was consulted,