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Bilateral Acute Angle-Closure Glaucoma in a Patient with Vogt-Koyanagi-Harada Syndrome: A Case Report

Year: 2024

Type: article

Abstract: Dear Editor,Vogt-Koyanagi-Harada (VKH) disease is a rare multisystemic inf lammatory autoimmune disorder characterized by panuveitis often accompanied by neurologic and cutaneous manifestations, such as headache, tinnitus, dysacusia, poliosis, and vitiligo [1].Generally, extraocular manifestations, including neurologic and auditory symptoms, precede the ocular and cutaneous findings.Bilateral acute angle-closure glaucoma (ACG) as an initial manifestation of VKH can be considered very rare [2].Here, we report a rare instance of bilateral ACG occurring alongside VKH, which could occur with secondary drug-induced ACG (SDACG).Written informed consent was obtained from the patient.A 49-year-old woman with decreased vision in both eyes, and a headache of 7 days' duration visited a local clinic.Her intraocular pressure (IOP) was 40 mmHg in both eyes with shallow anterior chambers, and bilateral conjunctival injection was observed.She was thus diagnosed as suffering from bilateral primary angle-closure glaucoma and was treated with topical pilocarpine and a Cosopt (Merck & Co, Inc).Upon referral to our hospital for further evaluation and treatment, she had no previous uveitis history but we discovered her remarkable medical

Source: Korean Journal of Ophthalmology

DOI: 10.3341/kjo.2024.0007

Authors: Kyu In Na, Ji Hyoung Chey, Chang Kyu Lee

Institutions: University of Ulsan, Ulsan University Hospital

Language: English

Topic: Ocular Diseases and Behçet’s Syndrome

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250