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June 1990

Magnetic Resonance Imaging in Vogt-Koyanagi-Harada Syndrome

Author Affiliations

Syracuse, NY

Arch Ophthalmol. 1990;108(6):783-784. doi:10.1001/archopht.1990.01070080025019

Vogt - Koyanagi - Harada syndrome (VKH) is a multisystem disorder characterized by chronic bilateral non-rhegmatogenous retinal detachments and granulomatous uveitis associated with meningeal, auditory, and cutaneous findings.1 The dermatologic findings (poliosis, alopecia, perilimbal and cutaneous vitiligo) and auditory disturbances (tinnitus, dysacousia, and vertigo) may occur weeks to months after the onset of the disease, making the initial diagnosis difficult.1,2 We report a case where the diagnosis of VKH was aided by the use of surface coil magnetic resonance imaging (MRI).

Report of a Case.  —A 34-year-old woman of Hispanic/black descent presented with a 3-week history of progressive visual loss, metamorphopsia, photophobia, and headache. Best-corrected visual acuity was 20/400 OD and 20/200 OS. Slit-lamp examination showed 1+ anterior chamber and vitreous cells. Ophthalmoscopy disclosed focal yellow-white lesions at the level of the retinal pigment epithelium with multiple overlying areas of exudative retinal detachment in addition to a mild papillitis. Fluorescein

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