The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.




Photo by Professor Chua Chung Nen

A 23 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.


Left posterior synechiae.


4+ cells in the anterior chamber.


Right posterior synechiae.

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