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A case of Vogt-Koyanagi-Harada disease which diagnosis and start of therapy were delayed because of COVID-19 Tetsuya Muto 1,2 , Shigeki Machida 1 , Shinichiro Imaizumi 2 1Department of Ophthalmology, Dokkyo Medical University Saitama Medical Center 2Imaizumi Eye Hospital pp.741-746
Published Date 2022/6/15
DOI https://doi.org/10.11477/mf.1410214405
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Abstract Purpose:To report a case of Vogt-Koyanagi-Harada disease that was diagnosed and treated late because of COVID-19.

Case:A 59-year-old man had medical check at a previous hospital because of loss of vision in both eyes and headache. He was diagnosed with unidentified uveitis and prescribed betamethasone sodium phosphate Ophthalmic solution. He became infected with COVID-19 without symptoms and had to stay home for two weeks. His eye condition became worse after staying home, and taking prednisolone at 20 mg/day, and he was referred to our hospital. The best-corrected visual acuity was 0.5 with lens-iris synechia all around and thickened choroids in both eyes at initial visit. He was treated with steroid pulse therapy after emergency admission. He had not taken prednisolone regularly since four months after his initial visit, and inflammation had recurred in the anterior chamber. He had sunset glow fundi in his both eyes, and the best-corrected visual acuity was 1.2 in both eyes, respectively, at 10 months after initial visit.

Conclusion:A delay of treatment due to COVID-19 and irregular predonisolone treatment may cause the recurrence of Vogt-Koyanagi-Harada disease.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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