Abstract

A 49-year-female with known human immunodeficiency virus on highly active antiretroviral therapy presented with diminution of vision and mild pain in both eyes of 2 weeks duration, preceded by alopecia, headache, and tinnitus. Her best corrected visual acuity was 6/60 in both eyes, with anterior segment inflammation and multiple pockets of neurosensory detachments in the fundus bilaterally. Systemic workup done to rule out other causes of uveitis was negative. A diagnosis of complete Vogt–Koyanagi–Harada syndrome was made and treated with systemic corticosteroids, which resolved upon treatment, with improvement in visual acuity to 6/9P.

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