The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
year-old was referred by a private ophthalmologist with a diagnosis of
Vogt-Koyanagi-Harada's syndrome. However, apart from recurrent pan-uveitis,
he had no evidence of neurological or dermatological signs or symptoms to
sustain the diagnosis. The anterior segment showed posterior synechiae with
severe anterior uveitis. The posterior segment has a poor view due to
vitritis. He was restarted on systemic steroid and a series of tests
including Chest X-ray and auto-immune screening was carried out.