Early Manifestation of Vogt-Koyanagi-Harada Disease as Unilateral Posterior Scleritis

Presumed Vogt-Koyanagi-Harada disease with unilateral ocular involvement: report of three cases

“…Even though there was no ocular inflammation in the unaffected eye, echographic examination revealed thickening of the choroids in both eyes. Kouda et al [4] also reported a patient with an initial diagnosis of unilateral posterior scleritis who later developed bilateral VKH disease, and suggested that some cases of VKH disease might show severe serous retinal detachment unilaterally. Unlike the above two cases, our patients had unilateral involvement, and none of them developed bilateral involvement even after a long follow-up period.…”

Vogt–Koyanagi–Harada syndrome – current perspectives

“…Scleral involvement in patients in the acute phase of VKHD has been observed with case reports of patients presented with unilateral or bilateral posterior scleritis and choroidal thickening 70. Extraocular features of VKHD with bilateral posterior scleritis, bilateral SRD, and optic disc swelling were also observed 71…”

Correction

“…Kouda and colleagues described a 38 year-old woman who was originally diagnosed as having posterior scleritis associated with a serous macular detachment in one eye who, 12 months later, developed bilateral VKH disease. 1 Forster and colleagues also described a 4-year-old boy who presented with unilateral clinical findings consistent with VKH disease, though B-scan ultrasonography showed choroidal thickening in the fellow eye. 2 We have presented three patients with VKH disease who had a significant delay in fellow eye involvement, ranging from 11 months to 6 years.…”