摘要
Uveitis secondary to Vogt-Koyanagi-Harada disease is rare in children.To the best of our knowledge,this patient is the first reported case of uveitis attributed to VKH in a child in Malaysia.A 9-year-old girl complained of non-resolving painful red eyes bilaterally for 3 months.Anterior segment of right eye showed mutton fat keratic precipitates,posterior synechiae and moderate anterior chamber reaction.Anterior segment of left eye revealed mutton fat keratic precipitates,band keratopathy on peripheral 3 and 9 o'clock of the cornea,iris bombe,iris nodule and seclusio pupillae.Fundus examination of right eye revealed subretinal deposit at superior and inferior arcades with flat retina while left eye showed hazy view.Patient was then noted to have poliosis and vitiligo after 1 month from initial presentation.Mild cataract and widespread atrophy of the retinal pigment epithelium accounting for the loss in vision remained.This case report is to highlight the importance of early recognition of paediatric Vogt-Koyanagi-Harada and treating it aggressively to prevent the irreversible destructive sequalae of the disease.
