Vogt-Koyanagi-Harada syndrome in children: an ophtalmologic emergency

Abstract

Vogt-Koyanagi-Harada syndrome rarely affects young children, so the diagnosis may be difficult if the extraocular manifestations are not present. An early diagnosis is essential in order to begin systemic corticosteroid therapy within the shortest delay possible for a better visual prognosis. We report a case of an 8-year-old girl referred for a sudden decrease in visual acuity affecting both eyes, associated with headaches. Ophthalmologic examination revealed bilateral panuveitis with serous retinal detachment and optic papillitis.