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Vogt–Koyanagi–Harada disease masquerading anterior ischaemic optic neuropathy
  1. ATSUSHI YOKOYAMA,
  2. KOUICHI OHTA,
  3. HIDENOBU KOJIMA,
  4. NAGAHISA YOSHIMURA
  1. Department of Ophthalmology, Shinshu University School of Medicine, Matsumoto, Japan
  1. Nagahisa Yoshimura, MD, Department of Ophthalmology, Shinshu University School of Medicine, Matsumoto 390–8621, Japan.

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Editor,—Vogt–Koyanagi–Harada (VKH) disease is a chronic panuveitis associated with poliosis, alopecia, vitiligo, dysacousia, and meningeal signs.1 In VKH, optic disc involvement is not unusual and disc oedema is one of the hallmarks of the disease.2 However, severe visual loss, altitudinal visual field defect, and sector filling defect on fluorescein angiography that suggest anterior ischaemic optic neuropathy (AION) are not usual presentations. We describe a case of VKH masquerading AION.

CASE REPORT

The patient was a 68 year old man who had decreased right visual acuity. He had systemic hypertension and multiple small brain infarction. On initial examination, the visual acuity was 20/50 in the right eye …

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