Isolated ocular Vogt-Koyanagi-Harada (VKH) disease in an eight-year-old child a case report

Vogt-Koyanagi-Harada disease (VKH) is a multisystem, autoimmune disease, which is uncommon in children. We report a case of an eight-year-old girl with Isolated ocular VKH disease. An eight-year-old girl presented with complaints of redness and diminution of vision in the right eye since four days. There was minimal anterior uveitis, minimal cells in the vitreous, mild disc edema and hyperemia, with subtle choroidal lesions and shallow exudative detachment at the posterior pole in both eyes. There were no neurological, auditory or integumentory findings. She was diagnosed to have Probable VKH disease (isolated ocular disease) according to the Revised criteria for diagnosis of VKH disease. She was treated with oral steroids, to which there was very good response. The ocular disease in VKH is classically described as a severe, potentially blinding, bilateral panuveitis affecting adults. This case demonstrates an atypical presentation of VKH disease in a child.