Concurrent acute Vogt-Koyanagi-Harada disease in one eye and
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Vogt-Koyanagi-Harada (VKH) disease is a granulomatous panuveitis, usually involving both eyes at the same time or within a few days or weeks. Acute and chronic diseases are characterised by distinct clinical features, treatment modalities, and visual outcomes. We report an atypical case of probable VKH disease, with features of the acute disease in one eye and chronic disease in the fellow eye.
A 53-year-old female presented with exudative retinal detachment associated with mild vitritis in the right eye and anterior uveitis, vitritis, and sunset glow fundus in the left eye. Based on clinical findings and results of multimodal imaging including fundus photography, spectral-domain optical coherence tomography, fluorescein angiography, indocyanine green angiography, and B-scan ultrasonography, a diagnosis of acute VKH disease in the right eye and chronic VKH disease in the left eye was made.

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