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NR. 1/2004
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Zespół Vogta–Koyanagi–Harady
Vogt–Koyanagi–Harada Syndrome
Gabriela Delong, Andrzej
Stankiewicz
Klinika Okulistyczna Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. med. Andrzej Stankiewicz |
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| Summary: |
The Voght–Koyanagi–Harada
syndrome, which is probably the result of autoimmune
mechanism, is a bilateral, granulomatous uveitis
associated with neurological and auditory disorders,
alopecia, vitiligo and poliosis. Fluorescein angiography,
echography, lumbar puncture are important diagnostic
tools. Cataract, glaucoma, optic atrophy, chronic
pigmentary changes in the fundus and subretinal
neovascular membranes are the most common complications
of VKH, which may lead to decrease in visual acuity.
Early, systemic, high-dose corticosteroids therapy is
desirable, which minimizes complications and improves
visual outcome. |
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| Key words: |
Vogt-Koyanagi-Harada
syndrome, darkly pigmented race, granulomatous uveitis,
inflammation, choroidal melanocytes, corticosteroids,
cyclosporine, fluorescein angiography, echography,
lumbar puncture, cataract, glaucoma, subretinal
neovascular membranes. |
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