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July 1990

Optic Disc Neovascularization in Association With Vogt-Koyanagi-Harada Syndrome

Author Affiliations

New York, NY; Boston, Mass

Arch Ophthalmol. 1990;108(7):918-919. doi:10.1001/archopht.1990.01070090020013

Neovascularization of the disc (NVD) is a complication of a number of disorders that affect the eye. The most common cause of NVD is retinal vascular occlusive disease, such as diabetes and retinal vein occlusion. We describe a rare association of NVD.

Report of a Case.  —A 46-year-old East Indian woman was referred for progressive visual loss in both eyes. Her visual acuity was counting fingers in the right eye and 20/300 in the left eye. The anterior segments of both eyes were normal and free of inflammation. The anterior vitreous contained 1+ cells in both eyes. On funduscopic examination, bilateral exudative detachments extending to and involving the macula were present. The optic nerves and vessels were normal. Fluorescein angiography demonstrated multiple focal areas of leakage from the choroidal vasculature in both eyes (Fig 1). A preliminary diagnosis of Vogt-Koyanagi-Harada syndrome (VKH), specifically Harada's disease, was made.The patient received