Abstract
A 60-year-old woman with Vogt-Koyanagi-Harada syndrome was referred with a four-month history of psychiatric decompensation, acute bilateral visual loss, headaches, intraocular inflammation, and exudative retinal detachment unresponsive to argon laser photocoagulation. She was treated successfully with subtenon's and systemic steroids, pars plana vitrectomy, and chlorambucil with improvement of visual acuity to 20 40 in her left eye and resolution of the psychiatric disorder.
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