title: Bilateral acute angle closure glaucoma as a presentation of vogt-koyanagi-harada syndrome in four chinese patients: a small case series.
abstract: OBJECTIVE
  To report the clinical features of Vogt-Koyanagi-Harada syndrome presented with bilateral acute angle closure glaucoma in 4 Chinese patients.
  
  
  METHODS
  The medical records were retrospectively reviewed.
  
  
  RESULTS
  Visual acuity ranged from counting fingers before the eye to 6/30. Intraocular pressure ranged from 22.2 to 29.7 mmHg with or without anterior chamber inflammation. Mild vitritis and massive exudative retinal detachment were seen. B scan and fundus fluorescein angiography supported the diagnosis. After corticosteroid treatment, the increased intraocular pressure was resolved with deepened anterior chamber and open angle. Inflammation was controlled and visual acuity was improved.
  
  
  CONCLUSIONS
  Bilateral acute angle closure glaucoma could be the initial symptom of Vogt-Koyanagi-Harada syndrome. Mild increased intraocular pressure in association with moderate to severe visual disturbance in both eyes is an important sign of this diagnosis. Careful fundus examination and B scan are helpful in diagnosis.
authors.affiliation: Department of Ophthalmology, Eye and ENT Hospital, Shanghai Medical School, Fudan University , Shanghai , PR China.
authors.forename: Jing
authors.initials: J
authors.lastname: Yao
authors.forename: Yuhong
authors.initials: Y
authors.lastname: Chen
authors.forename: Tingting
authors.initials: T
authors.lastname: Shao
authors.forename: Zhihong
authors.initials: Z
authors.lastname: Ling
authors.forename: Wenji
authors.initials: W
authors.lastname: Wang
authors.forename: Shaohong
authors.initials: S
authors.lastname: Qian
mesh_terms: D000208:Acute Disease; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D009887:Ophthalmoscopy; D012189:Retrospective Studies; D014607:Uveomeningoencephalitic Syndrome / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D014792:Visual Acuity