FP383 : Two Young Patients with Acute Bilateral Vision Loss and Headache

Dr. Divya Patel, P17091, Dr. Rutviben Ravjibhai Sadatia, Dr. Dwivedi Shyamal Kirankumar

Two young patients, came with bilateral acute vision loss and headache.Patients were being treated as multifocal central serous chorioretinopathy elsewhere.On examination at our institute we found multiple placoid lesions mimicking multifocal central serous chorioretinopathy.On investigating,with optical coherence tomography & Fundus fluorescein angiography patients were found to have ocular vogt koyanagi harada disease.

They were treated with oral steroids with complete resolution.On multiple remission after steroid withdrawal & persistent headache, a neurologist’s opinion was taken. Patients were further treated with immunosuppressive agents withdrawn over a period of 6 months. On 1 year follow up,patients did not show any signs of remission & maintained visual acuity 20/20.

Thus we conclude that VKH can mimic multifocal CSCR which requires proper investigations.Oral steroids hasten visual recovery but patients may require immunosuppressive therapy without systemic involvement.

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