Vogt-Koyanagi-Harada Disease in Pre-school Children

ABSTRACT

Purpose

To report the management and outcome of VKH disease in a 4-year-old boy with a review of literature on VKH in preschool children (3 to 5 years).

Method

Retrospective chart and literature review.

Result

A 4-year-old boy presented with visual acuity of light perception in both eyes with panuveitis, secondary cataracts and intraocular pressure (IOP) of ≥40 mmHg in both eyes. He was started on oral corticosteroid, immunosuppressive and underwent glaucoma filtering surgery and lensectomy with vitrectomy after adequate control of intraocular inflammation. Over time his IOP was again uncontrolled even with maximum anti-glaucoma medications, and he underwent Ahmed glaucoma valve (AGV) implantation, and he gained a visual acuity of 20/60 in both eyes with aphakic correction at the last visit.

Conclusion

Paediatric VKH follows an aggressive disease phase and requires a comprehensive multispeciality management approach.

KEYWORDS:

• Ahmed glaucoma valve implantation
• panuveitis
• pre-school children
• secondary glaucoma
• Vogt-Koyanagi-Harada disease

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.