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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 3  |  Page : 108-110

Unilateral acute angle-closure glaucoma as an unusual presentation of Vogt–Koyanagi–Harada disease: A diagnostic challenge


Department of Ophthalmology, Vitreoretinal Diseases and Uveitis Division, Alexandria University, Alexandria, Egypt

Correspondence Address:
Dr. Mohsen Ahmed Abou Shousha
Department of Ophthalmology, Alexandria Faculty of Medicine, Division of Vitreoretinal Diseases and Uveitis, 6 Chamblion Street, Elazareeta, Alexandria
Egypt
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Source of Support: Nil, Conflict of Interest: None declared.


DOI: 10.4103/2347-5617.164630

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Vogt–Koyanagi–Harada syndrome is an inflammatory multisystem disorder with ocular, cutaneous and neurological manifestations occurring more commonly in certain dark-skinned ethnic groups such as Asians, patients of Middle-Eastern heritage, and hispanics. Only a few reports have described a masquerade presentation of acute angle closure as an initial manifestation for this uveitic entity, which is typically characterized by panuveitis with serous retinal detachments. This has almost always led to misdiagnosis, unwarranted surgical interventions, and a delay of appropriate timely therapy. In this report, we describe an unusual case of acute unilateral Harada disease presenting as acute angle-closure glaucoma that has remitted following institution of appropriate therapy.


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