title: [Sudden appearance and rapide progression of bilateral visual deterioration].
abstract: This article describes the case of a 49-year-old patient with incomplete Vogt-Koyanagi-Harada syndrome. The anamnesis showed that intermittent alternating visual problems had begun 2 weeks before. The best corrected vision was 0.1 bilateral. In addition to a right-sided anterior uveitis multiple blister-like retinal alterations of both fundi were seen in fundoscopy. The fundoscopic findings could be confirmed by spectral domain optical coherence tomography (SD-OCT) as multiple intraretinal cysts and areas with neurosensory detachment. Topical and systemic steroid therapy resulted in a rapid reduction of these symptoms. The reversal in SD-OCT corresponded with a visual improvement.
authors.affiliation: Universitäts-Augenklinik Freiburg, Freiburg im Breisgau, Deutschland. Thabo.Lapp@uniklinik-freiburg.de
authors.forename: T
authors.initials: T
authors.lastname: Lapp
authors.forename: T
authors.initials: T
authors.lastname: Ness
authors.forename: L L
authors.initials: LL
authors.lastname: Hansen
authors.forename: B
authors.initials: B
authors.lastname: Junker
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D013256:Steroids / Q000008:administration & dosage*; D016896:Treatment Outcome; D014607:Uveomeningoencephalitic Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D014786:Vision Disorders / Q000209:etiology* / Q000517:prevention & control*
chemical_list: D013256:Steroids