Knowledge

Vogt–Koyanagi–Harada disease

Source 📝

119: 173: 618:, but likely included examples of VKH. Koyanagi's first description of the disease was in 1914, but was preceded by Jujiro Komoto, professor of ophthalmology at the University of Tokyo, in 1911. A much later article, published in 1929, definitively associated Koyanagi with the disease. Harada's 1926 paper is recognized for its comprehensive description of what is now known as Vogt–Koyanagi–Harada disease. 33: 504:
Based on the presence of extraocular findings, such as neurological, auditory, and integumentary manifestations, the "revised diagnostic criteria" of 2001 classify the disease as complete (eyes along with both neurological and skin), incomplete (eyes along with either neurological or skin), or
302:
causing blurring of vision. In 70% of VKH cases, the onset of visual blurring is bilaterally contemporaneous; if initially unilateral, the other eye is involved within several days. The process can include bilateral granulomatous anterior uveitis, variable degree of vitritis, thickening of the
613:
from Japan. Several authors, including Arabic doctor Mohammad-al-Ghâfiqî in the 12th century ,as well as Jacobi, Nettelship, and Tay in the 19th century, had described poliosis, neuralgias, and hearing disorders. This constellation was probably often due to
505:
probable (eyes without either neurological or skin) . By definition, for research homogeneity purposes, the two exclusion criteria are previous ocular penetrating trauma or surgery, and other concomitant ocular disease similar to VKH disease.
1361: 477:
in the eyes without clinical symptoms or signs. Ocular MRI may be helpful and auditory symptoms should undergo audiologic testing. Histopathology findings from eye and skin are discussed by Walton.
1254:
Vogt A. Frühzeitiges Ergrauen der Zilien und Bemerkungen über den sogenannten plötzlichen Eintritt dieser Veränderung. Klinische Monatsblätter für Augenheilkunde, Stuttgart, 1906, 44: 228-242.
365:
Although sometimes a viral infection, or skin or eye trauma precedes an outbreak, the exact underlying initiator of VKH disease remains unknown. VKH is attributed, however, to aberrant
401:. VKH is more common in Asians, Latinos, Middle Easterners, American Indians, and Mexican Mestizos; it is much less common in Caucasians and in Blacks from sub-Saharan Africa. 397:
Affected individuals are typically 20 to 50 years old. The female-to-male ratio is 2:1. By definition, affected people have no history of either surgical or accidental ocular
264:
The prodromal phase may have no symptoms, or may mimic a nonspecific viral infection, marked by flu-like symptoms that typically last for a few days. Fever, headache, nausea,
1263:
Koyanagi Y. Dysakusis, Alopecie und Poliosis bei schwerer Uveitis nicht traumatischen Ursprungs. Klinische Monatsblätter für Augenheilkunde, Stuttgart, 1929, 82: 194–211.
95: 1220:
Read RW, Holland GN, Rao NA, et al. (2001). "Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature".
581:
treatment. Inner ear symptoms usually respond to corticosteroid therapy within weeks to months; hearing usually recovers completely. Chronic eye effects such as
341:
The chronic recurrent phase may be marked by repeated bouts of uveitis, but is more commonly a chronic, low-grade, often subclinical, uveitis that may lead to
54: 17: 1272:
Harada E. Clinical study of nonsuppurative choroiditis. A report of acute diffuse choroiditis. Acta Societatis ophthalmologicae Japonicae, 1926, 30: 356.
2434: 338:
depigmentation resulting in a classic orange-red discoloration ("sunset glow fundus") and retinal pigment epithelium clumping and/or migration.
1831: 2503: 2429: 3004: 684:
Sakata VM, da Silva FT, Hirata CE, de Carvalho JF, Yamamoto JH (2014). "Diagnosis and classification of Vogt-Koyanagi-Harada disease".
41: 261:
The sequence of clinical events in VKH is divided into four phases - prodromal, acute uveitic, convalescent, and chronic recurrent.
404:
VKH is associated with a variety of genetic polymorphisms that relate to immune function. For example, it has been associated with
1443: 1416: 1018:
Rao, PK; Rao, NA (2006). "Chapter 10. Vogt–Koyanagi–Harada disease and Sympathetic Ophthalmia". In Pleyer, U; Foster, CS (eds.).
2451: 2446: 2271: 1295:"Vogt-Koyanagi-Harada disease: inquiry into the genesis of a disease name in the historical context of Switzerland and Japan" 207:, with malaise, fever, headache, nausea, abdominal pain, stiffness of the neck and back, or a combination of these factors; 2311: 298:
The acute uveitic phase occurs a few days later and typically lasts for several weeks. This phase is heralded by bilateral
420:
locus and with various other non-HLA genes. HLA-DRB1*0405 in particular appears to play an important susceptibility role.
2989: 2424: 2419: 2306: 1873: 2174: 2034: 1171: 1027: 2139: 480:
The diagnosis of VKH is based on the clinical presentation; the diagnostic differential is extensive, and includes
2714: 2232: 2144: 2134: 1863: 2227: 2118: 1984: 459: 2984: 2625: 2316: 2301: 463: 1513: 1471: 1436: 1402: 191:. The eye symptoms may be accompanied by a varying constellation of systemic symptoms, such as auditory ( 2441: 2237: 2211: 2169: 2164: 2029: 1902: 1890: 1846: 637: 2620: 2508: 2414: 2261: 2106: 1907: 1853: 1294: 1201: 118: 2159: 2130: 1754: 1719: 1373: 353:, and ocular hypertension. Full-blown recurrences, though, are rare after the acute stage is over. 450:. Diagnostic confirmation and an estimation of disease severity may involve imaging tests such as 2630: 2384: 2184: 1704: 1697: 517:; parenteral administration is usually not required. However, ocular complications may require a 405: 46: 3009: 2899: 2869: 2804: 2799: 2526: 1804: 1669: 1429: 615: 558: 481: 413: 156: 2999: 2994: 2842: 2518: 550: 409: 272:(discomfort caused by loud noises or a distortion in the quality of the sounds being heard), 2486: 1158:. Progress in Molecular Biology and Translational Science. Vol. 134. pp. 283–298. 2615: 2201: 2196: 2154: 1969: 1885: 496:, uveal effusion syndrome, tuberculosis, syphilis, and multifocal choroidopathy syndromes. 447: 303:
posterior choroid with elevation of the peripapillary retinal choroidal layer, optic nerve
8: 2920: 2794: 2594: 2477: 2469: 2257: 2221: 2206: 2061: 1841: 1621: 429: 312: 230: 212: 2550: 1022:. Essentials in Ophthalmology. Springer Science & Business Media. pp. 145–155. 88:
Vogt–Koyanagi–Harada syndrome, uveomeningitis syndrome, uveomeningoencephalitic syndrome
2531: 2281: 2189: 2113: 2066: 1878: 1814: 1799: 1659: 1608: 1325: 1189: 1129: 1104:
Bordaberry MF (2010). "Vogt-Koyanagi-Harada disease: diagnosis and treatments update".
891: 767: 518: 316: 136: 1233: 322:
The convalescent phase is characterized by gradual tissue depigmentation of skin with
2874: 2771: 2536: 2396: 2179: 1836: 1742: 1317: 1237: 1177: 1167: 1133: 1121: 1077: 1023: 883: 821: 759: 701: 530: 443: 107: 1329: 1072: 1055: 895: 771: 2662: 2652: 2498: 2473: 2406: 2372: 2291: 1922: 1912: 1809: 1664: 1551: 1541: 1417:
American Academy of Ophthalmology: Identify and Treat Vogt-Koyanagi-Harada Syndrome
1309: 1229: 1159: 1113: 1067: 873: 813: 751: 693: 606: 578: 378: 308: 234: 804:
Greco A, Fusconi M, Gallo A, et al. (2013). "Vogt-Koyanagi-Harada syndrome".
187:
The disease is characterised by bilateral diffuse uveitis, with pain, redness and
2729: 2693: 2657: 2276: 2101: 2088: 2022: 1979: 1897: 1709: 1641: 1561: 1546: 1378: 1163: 1117: 878: 861: 817: 697: 610: 522: 489: 277: 985: 2959: 2811: 2756: 2599: 2367: 2296: 2078: 2048: 1994: 1948: 1819: 1692: 1626: 1616: 542: 514: 439:. This pleocytosis resolves in about 8 weeks even if chronic uveitis persists. 417: 386: 374: 292: 1313: 755: 2978: 2879: 2734: 2674: 2391: 2339: 2286: 2216: 2125: 2012: 1989: 1917: 1826: 1631: 1536: 590: 451: 285: 219: 143:-pigmented tissues. The most significant manifestation is bilateral, diffuse 112: 1421: 2744: 2572: 1953: 1868: 1776: 1654: 1649: 1594: 1589: 1321: 1241: 1181: 1154:
Hou S, Kijlstra A, Yang P (2015). "Molecular Genetic Advances in Uveitis".
1125: 1081: 887: 825: 763: 705: 554: 546: 534: 474: 398: 335: 860:
Cunningham ET, Rathinam SR, Tugal-Tutkun I, Muccioli C, Zierhut M (2014).
2943: 2894: 2837: 2832: 2789: 2767: 2678: 2669: 2589: 2567: 2379: 2351: 2149: 2017: 1858: 1679: 1556: 1508: 1455: 602: 526: 485: 455: 432: 281: 265: 226: 215: 204: 188: 1353: 2864: 2827: 2751: 2739: 2683: 2644: 2465: 2355: 1714: 1579: 562: 538: 513:
The acute uveitis phase of VKH is usually responsive to high-dose oral
467: 436: 370: 299: 208: 200: 859: 2915: 2889: 2763: 2709: 2697: 2582: 2577: 2562: 2558: 2096: 1794: 1771: 1584: 1531: 1526: 1503: 574: 493: 354: 342: 304: 269: 148: 742:
Damico FM, Kiss S, Young LH (2005). "Vogt-Koyanagi-Harada disease".
2954: 2719: 2253: 2056: 1687: 1397: 586: 582: 470:. For example, indocyanine green angiography may detect continuing 382: 350: 346: 331: 327: 323: 273: 246: 242: 238: 192: 180: 152: 369:-mediated immune response directed against self-antigens found on 2781: 2724: 2266: 2073: 2004: 1974: 1964: 1571: 1054:
Damico FM, Bezerra FT, Silva GC, Gasparin F, Yamamoto JH (2009).
471: 196: 176: 144: 140: 172: 32: 2884: 1786: 1763: 1483: 1365: 683: 366: 250: 2856: 288: 222: 284:, and tearing. The skin and hair may be sensitive to touch. 147:, which affects the eyes. VKH may variably also involve the 1936: 1498: 1053: 593:
can occur. Skin changes usually persist despite therapy.
330:, sometimes with nummular depigmented scars, as well as 577:
is generally good with prompt diagnosis and aggressive
94: 276:, and/or vertigo may occur. Eye symptoms can include 1343: 2485: 2430:arteritic anterior (AAION or arteritic AION) 855: 803: 2976: 1292: 1099: 1097: 1095: 1093: 1091: 1056:"New insights into Vogt-Koyanagi-Harada disease" 853: 851: 849: 847: 845: 843: 841: 839: 837: 835: 435:is found in more than 80% of cases, with mainly 389:, appear to target proteins in the melanocytes. 1153: 741: 1288: 1286: 1284: 1282: 1280: 1278: 1219: 1451: 1437: 1088: 979: 977: 975: 973: 971: 969: 967: 965: 963: 961: 959: 957: 955: 953: 951: 949: 947: 945: 943: 941: 939: 937: 935: 933: 931: 929: 927: 925: 832: 737: 735: 679: 677: 675: 673: 671: 151:, with effects on hearing, the skin, and the 2504:Chronic progressive external ophthalmoplegia 1257: 1049: 1047: 1045: 1043: 1041: 1039: 923: 921: 919: 917: 915: 913: 911: 909: 907: 905: 733: 731: 729: 727: 725: 723: 721: 719: 717: 715: 669: 667: 665: 663: 661: 659: 657: 655: 653: 651: 1832:Thygeson's superficial punctate keratopathy 1491: 1275: 1215: 1213: 1211: 799: 797: 795: 793: 791: 789: 787: 785: 783: 781: 601:VKH syndrome is named for ophthalmologists 237:), and cutaneous manifestations, including 1444: 1430: 1266: 1149: 1147: 1145: 1143: 1103: 117: 93: 1071: 1036: 1013: 1011: 1009: 1007: 1005: 1003: 1001: 999: 983: 902: 877: 712: 648: 1248: 1208: 778: 642:National Organization for Rare Disorders 171: 57:of all important aspects of the article. 1140: 135:) is a multisystem disease of presumed 14: 2977: 1017: 996: 632: 630: 53:Please consider expanding the lead to 2941: 2337: 1740: 1469: 1425: 249:. The vitiligo often is found at the 162: 2312:Familial exudative vitreoretinopathy 26: 2435:non-arteritic anterior (NAION) 2272:Leber's hereditary optic neuropathy 1020:Uveitis and Immunological Disorders 627: 24: 3005:Disturbances of human pigmentation 2307:Persistent tunica vasculosa lentis 529:. In refractory situations, other 428:If tested in the prodromal phase, 25: 3021: 2035:Polypoidal choroidal vasculopathy 1339: 102:Dermatologic manifestation of VKH 2140:Central retinal artery occlusion 1293:Herbort CP, Mochizuki M (2007). 1156:Molecular Biology of Eye Disease 557:), or biological agents such as 525:injection of corticosteroids or 31: 2145:Branch retinal artery occlusion 1874:Terrien's marginal degeneration 1073:10.1590/s0004-27492009000300028 392: 45:may be too short to adequately 2942: 2175:Bietti's crystalline dystrophy 2135:Central retinal vein occlusion 1864:Pellucid marginal degeneration 986:"Vogt-Koyanagi-Harada Disease" 862:"Vogt-Koyanagi-Harada disease" 638:"Vogt-Koyanagi-Harada Disease" 55:provide an accessible overview 13: 1: 2228:Vitelliform macular dystrophy 2119:Posterior vitreous detachment 1985:Persistent pupillary membrane 1234:10.1016/s0002-9394(01)00925-4 621: 508: 460:indocyanine green angiography 442:Functional tests may include 408:(HLA) HLA-DR4 and DRB1/DQA1, 18:Vogt–Koyanagi–Harada syndrome 2715:Leber's congenital amaurosis 2626:Internuclear ophthalmoplegia 2338: 2317:Vogt-Koyanagi-Harada disease 2302:Persistent fetal vasculature 2233:Leber's congenital amaurosis 1164:10.1016/bs.pmbts.2015.04.009 1118:10.1097/ICU.0b013e32833eb78c 879:10.3109/09273948.2014.939530 818:10.1016/j.autrev.2013.01.004 698:10.1016/j.autrev.2014.01.023 464:optical coherence tomography 423: 129:Vogt–Koyanagi–Harada disease 80:Vogt–Koyanagi–Harada disease 7: 1514:Meibomian gland dysfunction 568: 559:intravenous immunoglobulins 167: 10: 3026: 2990:Autoinflammatory syndromes 2238:Birdshot chorioretinopathy 2212:Central serous retinopathy 2030:Focal choroidal excavation 1903:Corneal neovascularization 1720:Subconjunctival hemorrhage 1470: 984:Walton RC (Feb 12, 2014). 2950: 2937: 2908: 2855: 2820: 2780: 2705: 2692: 2643: 2621:Convergence insufficiency 2608: 2549: 2517: 2494: 2464: 2405: 2363: 2350: 2346: 2333: 2262:Primary juvenile glaucoma 2246: 2107:Cytomegalovirus retinitis 2087: 2047: 2003: 1944: 1935: 1785: 1762: 1753: 1749: 1741: 1736: 1678: 1640: 1607: 1570: 1522: 1482: 1478: 1465: 1456:Diseases of the human eye 1388: 1347: 1314:10.1007/s10792-007-9083-4 756:10.1080/08820530500232126 596: 357:may occur in this phase. 311:, and multiple exudative 256: 106: 101: 92: 84: 79: 2131:Ocular ischemic syndrome 499: 406:human leukocyte antigens 360: 2631:One and a half syndrome 2385:Foster Kennedy syndrome 345:anterior inflammation, 2870:Argyll Robertson pupil 1670:Periorbital cellulitis 866:Ocul. Immunol. Inflamm 616:sympathetic ophthalmia 488:, primary intraocular 482:sympathetic ophthalmia 414:complement component 4 410:copy-number variations 184: 157:central nervous system 2843:Scintillating scotoma 2509:Kearns–Sayre syndrome 2452:Toxic and nutritional 2425:posterior (PION) 1908:Kayser–Fleischer ring 605:from Switzerland and 551:mycophenolate mofetil 175: 2616:Conjugate gaze palsy 2487:Paralytic strabismus 2420:anterior (AION) 2202:Retinitis pigmentosa 2197:Macular degeneration 1970:Intermediate uveitis 1886:Keratoconjunctivitis 1106:Curr Opin Ophthalmol 448:visual field testing 235:ciliary ganglionitis 2985:Autoimmune diseases 2921:Childhood blindness 2900:Parinaud's syndrome 2470:Extraocular muscles 2258:Ocular hypertension 2222:Epiretinal membrane 2207:Retinal haemorrhage 2062:Congenital cataract 430:cerebrospinal fluid 317:retinal detachments 231:transverse myelitis 139:cause that affects 2447:Leber's hereditary 2114:Retinal detachment 2067:Childhood cataract 1879:Post-LASIK ectasia 1660:Orbital cellulitis 1609:Lacrimal apparatus 1389:External resources 531:immunosuppressives 189:blurring of vision 185: 163:Signs and symptoms 2972: 2971: 2968: 2967: 2933: 2932: 2929: 2928: 2875:Marcus Gunn pupil 2851: 2850: 2772:Visual impairment 2639: 2638: 2545: 2544: 2532:Fourth-nerve (IV) 2460: 2459: 2397:Optic disc drusen 2329: 2328: 2325: 2324: 2043: 2042: 1931: 1930: 1837:Corneal dystrophy 1732: 1731: 1728: 1727: 1603: 1602: 1412: 1411: 1222:Am. J. Ophthalmol 1060:Arq Bras Oftalmol 444:electroretinogram 379:T helper 17 cells 203:), neurological ( 126: 125: 74:Medical condition 72: 71: 16:(Redirected from 3017: 2939: 2938: 2703: 2702: 2694:Vision disorders 2653:Refractive error 2595:Brown's syndrome 2551:Other strabismus 2537:Sixth-nerve (VI) 2527:Oculomotor (III) 2499:Ophthalmoparesis 2492: 2491: 2483: 2482: 2474:Binocular vision 2407:Optic neuropathy 2373:optic papillitis 2361: 2360: 2348: 2347: 2335: 2334: 2224:(Macular pucker) 1942: 1941: 1923:Band keratopathy 1760: 1759: 1751: 1750: 1738: 1737: 1665:Orbital lymphoma 1552:Blepharophimosis 1542:Blepharochalasis 1489: 1488: 1480: 1479: 1467: 1466: 1446: 1439: 1432: 1423: 1422: 1345: 1344: 1334: 1333: 1299: 1290: 1273: 1270: 1264: 1261: 1255: 1252: 1246: 1245: 1217: 1206: 1205: 1199: 1195: 1193: 1185: 1151: 1138: 1137: 1101: 1086: 1085: 1075: 1051: 1034: 1033: 1015: 994: 993: 981: 900: 899: 881: 857: 830: 829: 801: 776: 775: 744:Semin Ophthalmol 739: 710: 709: 681: 646: 645: 634: 607:Yoshizo Koyanagi 579:immunomodulatory 373:. Stimulated by 183:of the eyelashes 122: 121: 97: 77: 76: 67: 64: 58: 35: 27: 21: 3025: 3024: 3020: 3019: 3018: 3016: 3015: 3014: 2975: 2974: 2973: 2964: 2946: 2925: 2904: 2847: 2816: 2776: 2730:Color blindness 2696: 2688: 2635: 2609:Other binocular 2604: 2541: 2513: 2476: 2472: 2468: 2456: 2401: 2354: 2342: 2321: 2277:Ocular hypotony 2242: 2102:Chorioretinitis 2083: 2039: 2023:Chorioretinitis 1999: 1980:Rubeosis iridis 1958: 1927: 1898:Corneal opacity 1854:Corneal ectasia 1781: 1745: 1724: 1710:Pseudopterygium 1674: 1636: 1599: 1566: 1562:Ankyloblepharon 1518: 1474: 1461: 1460: 1450: 1413: 1408: 1407: 1384: 1383: 1356: 1342: 1337: 1297: 1291: 1276: 1271: 1267: 1262: 1258: 1253: 1249: 1218: 1209: 1197: 1196: 1187: 1186: 1174: 1152: 1141: 1102: 1089: 1052: 1037: 1030: 1016: 997: 982: 903: 858: 833: 802: 779: 740: 713: 682: 649: 636: 635: 628: 624: 611:Einosuke Harada 599: 571: 565:may be needed. 543:antimetabolites 515:corticosteroids 511: 502: 490:B-cell lymphoma 426: 395: 363: 259: 170: 165: 116: 75: 68: 62: 59: 52: 40:This article's 36: 23: 22: 15: 12: 11: 5: 3023: 3013: 3012: 3007: 3002: 2997: 2992: 2987: 2970: 2969: 2966: 2965: 2963: 2962: 2960:Onchocerciasis 2957: 2951: 2948: 2947: 2935: 2934: 2931: 2930: 2927: 2926: 2924: 2923: 2918: 2912: 2910: 2906: 2905: 2903: 2902: 2897: 2892: 2887: 2882: 2877: 2872: 2867: 2861: 2859: 2853: 2852: 2849: 2848: 2846: 2845: 2840: 2835: 2830: 2824: 2822: 2818: 2817: 2815: 2814: 2812:Quadrantanopia 2809: 2808: 2807: 2802: 2797: 2786: 2784: 2778: 2777: 2775: 2774: 2761: 2760: 2759: 2757:Oguchi disease 2749: 2748: 2747: 2742: 2737: 2727: 2722: 2717: 2712: 2706: 2700: 2690: 2689: 2687: 2686: 2681: 2672: 2667: 2666: 2665: 2660: 2649: 2647: 2641: 2640: 2637: 2636: 2634: 2633: 2628: 2623: 2618: 2612: 2610: 2606: 2605: 2603: 2602: 2600:Duane syndrome 2597: 2592: 2587: 2586: 2585: 2580: 2570: 2565: 2555: 2553: 2547: 2546: 2543: 2542: 2540: 2539: 2534: 2529: 2523: 2521: 2515: 2514: 2512: 2511: 2506: 2501: 2495: 2489: 2480: 2462: 2461: 2458: 2457: 2455: 2454: 2449: 2444: 2439: 2438: 2437: 2432: 2427: 2422: 2411: 2409: 2403: 2402: 2400: 2399: 2394: 2389: 2388: 2387: 2377: 2376: 2375: 2368:Optic neuritis 2364: 2358: 2344: 2343: 2331: 2330: 2327: 2326: 2323: 2322: 2320: 2319: 2314: 2309: 2304: 2299: 2297:Phthisis bulbi 2294: 2289: 2284: 2279: 2274: 2269: 2264: 2250: 2248: 2244: 2243: 2241: 2240: 2235: 2230: 2225: 2219: 2214: 2209: 2204: 2199: 2194: 2193: 2192: 2187: 2182: 2180:Coats' disease 2177: 2172: 2170:of prematurity 2167: 2162: 2157: 2147: 2142: 2137: 2128: 2123: 2122: 2121: 2111: 2110: 2109: 2104: 2093: 2091: 2085: 2084: 2082: 2081: 2079:Ectopia lentis 2076: 2071: 2070: 2069: 2064: 2053: 2051: 2045: 2044: 2041: 2040: 2038: 2037: 2032: 2027: 2026: 2025: 2015: 2009: 2007: 2001: 2000: 1998: 1997: 1992: 1987: 1982: 1977: 1972: 1967: 1961: 1959: 1957: 1956: 1951: 1945: 1939: 1937:Vascular tunic 1933: 1932: 1929: 1928: 1926: 1925: 1920: 1915: 1910: 1905: 1900: 1895: 1894: 1893: 1883: 1882: 1881: 1876: 1871: 1866: 1861: 1851: 1850: 1849: 1844: 1834: 1829: 1824: 1823: 1822: 1820:Photokeratitis 1817: 1812: 1807: 1802: 1791: 1789: 1783: 1782: 1780: 1779: 1774: 1768: 1766: 1757: 1747: 1746: 1734: 1733: 1730: 1729: 1726: 1725: 1723: 1722: 1717: 1712: 1707: 1702: 1701: 1700: 1693:Conjunctivitis 1690: 1684: 1682: 1676: 1675: 1673: 1672: 1667: 1662: 1657: 1652: 1646: 1644: 1638: 1637: 1635: 1634: 1629: 1627:Dacryocystitis 1624: 1619: 1617:Dacryoadenitis 1613: 1611: 1605: 1604: 1601: 1600: 1598: 1597: 1592: 1587: 1582: 1576: 1574: 1568: 1567: 1565: 1564: 1559: 1554: 1549: 1544: 1539: 1534: 1529: 1523: 1520: 1519: 1517: 1516: 1511: 1506: 1501: 1495: 1493: 1486: 1476: 1475: 1463: 1462: 1459: 1458: 1452: 1449: 1448: 1441: 1434: 1426: 1420: 1419: 1410: 1409: 1406: 1405: 1393: 1392: 1390: 1386: 1385: 1382: 1381: 1370: 1369:: H20.8 H30.8 1357: 1352: 1351: 1349: 1348:Classification 1341: 1340:External links 1338: 1336: 1335: 1308:(2–3): 67–79. 1302:Int Ophthalmol 1274: 1265: 1256: 1247: 1207: 1198:|journal= 1172: 1139: 1087: 1035: 1028: 995: 901: 831: 812:(11): 1033–8. 777: 711: 692:(4–5): 550–5. 647: 625: 623: 620: 598: 595: 570: 567: 510: 507: 501: 498: 425: 422: 394: 391: 387:interleukin 17 375:interleukin 23 362: 359: 295:are uncommon. 293:optic neuritis 258: 255: 169: 166: 164: 161: 124: 123: 110: 104: 103: 99: 98: 90: 89: 86: 82: 81: 73: 70: 69: 49:the key points 39: 37: 30: 9: 6: 4: 3: 2: 3022: 3011: 3010:Rare diseases 3008: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2982: 2980: 2961: 2958: 2956: 2953: 2952: 2949: 2945: 2940: 2936: 2922: 2919: 2917: 2914: 2913: 2911: 2907: 2901: 2898: 2896: 2893: 2891: 2888: 2886: 2883: 2881: 2880:Adie syndrome 2878: 2876: 2873: 2871: 2868: 2866: 2863: 2862: 2860: 2858: 2854: 2844: 2841: 2839: 2836: 2834: 2831: 2829: 2826: 2825: 2823: 2819: 2813: 2810: 2806: 2803: 2801: 2798: 2796: 2793: 2792: 2791: 2788: 2787: 2785: 2783: 2779: 2773: 2769: 2765: 2762: 2758: 2755: 2754: 2753: 2750: 2746: 2743: 2741: 2738: 2736: 2735:Achromatopsia 2733: 2732: 2731: 2728: 2726: 2723: 2721: 2718: 2716: 2713: 2711: 2708: 2707: 2704: 2701: 2699: 2695: 2691: 2685: 2682: 2680: 2676: 2675:Anisometropia 2673: 2671: 2668: 2664: 2661: 2659: 2656: 2655: 2654: 2651: 2650: 2648: 2646: 2642: 2632: 2629: 2627: 2624: 2622: 2619: 2617: 2614: 2613: 2611: 2607: 2601: 2598: 2596: 2593: 2591: 2588: 2584: 2581: 2579: 2576: 2575: 2574: 2571: 2569: 2566: 2564: 2560: 2557: 2556: 2554: 2552: 2548: 2538: 2535: 2533: 2530: 2528: 2525: 2524: 2522: 2520: 2516: 2510: 2507: 2505: 2502: 2500: 2497: 2496: 2493: 2490: 2488: 2484: 2481: 2479: 2478:Accommodation 2475: 2471: 2467: 2463: 2453: 2450: 2448: 2445: 2443: 2440: 2436: 2433: 2431: 2428: 2426: 2423: 2421: 2418: 2417: 2416: 2413: 2412: 2410: 2408: 2404: 2398: 2395: 2393: 2392:Optic atrophy 2390: 2386: 2383: 2382: 2381: 2378: 2374: 2371: 2370: 2369: 2366: 2365: 2362: 2359: 2357: 2353: 2349: 2345: 2341: 2336: 2332: 2318: 2315: 2313: 2310: 2308: 2305: 2303: 2300: 2298: 2295: 2293: 2292:Keratomycosis 2290: 2288: 2287:Globe rupture 2285: 2283: 2280: 2278: 2275: 2273: 2270: 2268: 2265: 2263: 2259: 2255: 2252: 2251: 2249: 2245: 2239: 2236: 2234: 2231: 2229: 2226: 2223: 2220: 2218: 2217:Macular edema 2215: 2213: 2210: 2208: 2205: 2203: 2200: 2198: 2195: 2191: 2188: 2186: 2183: 2181: 2178: 2176: 2173: 2171: 2168: 2166: 2163: 2161: 2158: 2156: 2153: 2152: 2151: 2148: 2146: 2143: 2141: 2138: 2136: 2132: 2129: 2127: 2126:Retinoschisis 2124: 2120: 2117: 2116: 2115: 2112: 2108: 2105: 2103: 2100: 2099: 2098: 2095: 2094: 2092: 2090: 2086: 2080: 2077: 2075: 2072: 2068: 2065: 2063: 2060: 2059: 2058: 2055: 2054: 2052: 2050: 2046: 2036: 2033: 2031: 2028: 2024: 2021: 2020: 2019: 2016: 2014: 2013:Choroideremia 2011: 2010: 2008: 2006: 2002: 1996: 1993: 1991: 1990:Iridodialysis 1988: 1986: 1983: 1981: 1978: 1976: 1973: 1971: 1968: 1966: 1963: 1962: 1960: 1955: 1952: 1950: 1947: 1946: 1943: 1940: 1938: 1934: 1924: 1921: 1919: 1918:Arcus senilis 1916: 1914: 1913:Haab's striae 1911: 1909: 1906: 1904: 1901: 1899: 1896: 1892: 1889: 1888: 1887: 1884: 1880: 1877: 1875: 1872: 1870: 1867: 1865: 1862: 1860: 1857: 1856: 1855: 1852: 1848: 1845: 1843: 1840: 1839: 1838: 1835: 1833: 1830: 1828: 1827:Corneal ulcer 1825: 1821: 1818: 1816: 1813: 1811: 1808: 1806: 1805:acanthamoebic 1803: 1801: 1798: 1797: 1796: 1793: 1792: 1790: 1788: 1784: 1778: 1775: 1773: 1770: 1769: 1767: 1765: 1761: 1758: 1756: 1755:Fibrous tunic 1752: 1748: 1744: 1739: 1735: 1721: 1718: 1716: 1713: 1711: 1708: 1706: 1703: 1699: 1696: 1695: 1694: 1691: 1689: 1686: 1685: 1683: 1681: 1677: 1671: 1668: 1666: 1663: 1661: 1658: 1656: 1653: 1651: 1648: 1647: 1645: 1643: 1639: 1633: 1632:Xerophthalmia 1630: 1628: 1625: 1623: 1620: 1618: 1615: 1614: 1612: 1610: 1606: 1596: 1593: 1591: 1588: 1586: 1583: 1581: 1578: 1577: 1575: 1573: 1569: 1563: 1560: 1558: 1555: 1553: 1550: 1548: 1545: 1543: 1540: 1538: 1537:Lagophthalmos 1535: 1533: 1530: 1528: 1525: 1524: 1521: 1515: 1512: 1510: 1507: 1505: 1502: 1500: 1497: 1496: 1494: 1490: 1487: 1485: 1481: 1477: 1473: 1468: 1464: 1457: 1454: 1453: 1447: 1442: 1440: 1435: 1433: 1428: 1427: 1424: 1418: 1415: 1414: 1404: 1400: 1399: 1395: 1394: 1391: 1387: 1380: 1376: 1375: 1371: 1368: 1367: 1363: 1359: 1358: 1355: 1350: 1346: 1331: 1327: 1323: 1319: 1315: 1311: 1307: 1303: 1296: 1289: 1287: 1285: 1283: 1281: 1279: 1269: 1260: 1251: 1243: 1239: 1235: 1231: 1228:(5): 647–52. 1227: 1223: 1216: 1214: 1212: 1203: 1191: 1183: 1179: 1175: 1173:9780128010594 1169: 1165: 1161: 1157: 1150: 1148: 1146: 1144: 1135: 1131: 1127: 1123: 1119: 1115: 1111: 1107: 1100: 1098: 1096: 1094: 1092: 1083: 1079: 1074: 1069: 1066:(3): 413–20. 1065: 1061: 1057: 1050: 1048: 1046: 1044: 1042: 1040: 1031: 1029:9783540307983 1025: 1021: 1014: 1012: 1010: 1008: 1006: 1004: 1002: 1000: 991: 987: 980: 978: 976: 974: 972: 970: 968: 966: 964: 962: 960: 958: 956: 954: 952: 950: 948: 946: 944: 942: 940: 938: 936: 934: 932: 930: 928: 926: 924: 922: 920: 918: 916: 914: 912: 910: 908: 906: 897: 893: 889: 885: 880: 875: 872:(4): 249–52. 871: 867: 863: 856: 854: 852: 850: 848: 846: 844: 842: 840: 838: 836: 827: 823: 819: 815: 811: 807: 806:Autoimmun Rev 800: 798: 796: 794: 792: 790: 788: 786: 784: 782: 773: 769: 765: 761: 757: 753: 750:(3): 183–90. 749: 745: 738: 736: 734: 732: 730: 728: 726: 724: 722: 720: 718: 716: 707: 703: 699: 695: 691: 687: 686:Autoimmun Rev 680: 678: 676: 674: 672: 670: 668: 666: 664: 662: 660: 658: 656: 654: 652: 643: 639: 633: 631: 626: 619: 617: 612: 608: 604: 594: 592: 591:optic atrophy 588: 584: 580: 576: 566: 564: 560: 556: 552: 548: 544: 540: 536: 532: 528: 524: 520: 516: 506: 497: 495: 491: 487: 483: 478: 476: 473: 469: 465: 461: 457: 453: 449: 445: 440: 438: 434: 431: 421: 419: 415: 411: 407: 402: 400: 390: 388: 384: 380: 376: 372: 368: 358: 356: 352: 348: 344: 343:granulomatous 339: 337: 333: 329: 325: 320: 318: 314: 310: 306: 301: 296: 294: 290: 287: 286:Cranial nerve 283: 279: 275: 271: 267: 262: 254: 252: 251:sacral region 248: 244: 240: 236: 232: 228: 224: 221: 220:cranial nerve 217: 214: 210: 206: 202: 198: 194: 190: 182: 178: 174: 160: 158: 154: 150: 146: 142: 138: 134: 130: 120: 114: 113:Ophthalmology 111: 109: 105: 100: 96: 91: 87: 83: 78: 66: 56: 50: 48: 43: 38: 34: 29: 28: 19: 3000:Hearing loss 2995:Eye diseases 2770: / 2766: / 2745:Monochromacy 2677: / 2573:Heterophoria 2561: / 2260: / 2256: / 2160:hypertensive 2133: / 1954:Ciliary body 1869:Keratoglobus 1777:Episcleritis 1655:Enophthalmos 1650:Exophthalmos 1595:Trichomegaly 1590:Distichiasis 1492:Inflammation 1396: 1372: 1360: 1305: 1301: 1268: 1259: 1250: 1225: 1221: 1155: 1112:(6): 430–5. 1109: 1105: 1063: 1059: 1019: 989: 869: 865: 809: 805: 747: 743: 689: 685: 641: 600: 572: 555:methotrexate 547:azathioprine 535:cyclosporine 512: 503: 492:, posterior 479: 475:inflammation 452:retinography 441: 427: 416:, a variant 403: 396: 393:Risk factors 364: 340: 334:and diffuse 321: 297: 263: 260: 186: 132: 128: 127: 60: 44: 42:lead section 2895:Cycloplegia 2838:Photophobia 2833:Hemeralopia 2790:Hemianopsia 2768:Vision loss 2679:Aniseikonia 2670:Astigmatism 2590:Cyclotropia 2568:Hypertropia 2380:Papilledema 2352:Optic nerve 2185:Sickle cell 2165:Purtscher's 2150:Retinopathy 2018:Choroiditis 1859:Keratoconus 1680:Conjunctiva 1557:Xanthelasma 1509:Blepharitis 603:Alfred Vogt 527:bevacizumab 486:sarcoidosis 456:fluorescein 437:lymphocytes 433:pleocytosis 371:melanocytes 282:photophobia 266:meningismus 227:hemiparesis 216:pleocytosis 205:meningismus 85:Other names 2979:Categories 2944:Infections 2865:Anisocoria 2828:Asthenopia 2821:subjective 2805:homonymous 2800:bitemporal 2752:Nyctalopia 2740:Dichromacy 2684:Presbyopia 2645:Refraction 2466:Strabismus 2356:Optic disc 1715:Pinguecula 1580:Trichiasis 622:References 563:infliximab 561:(IVIG) or 539:tacrolimus 509:Management 468:ultrasound 385:, such as 309:papillitis 300:panuveitis 209:meningitis 201:hypoacusis 137:autoimmune 63:April 2021 2916:Nystagmus 2890:Mydriasis 2764:Blindness 2710:Amblyopia 2698:Blindness 2658:Hyperopia 2583:Exophoria 2578:Esophoria 2563:Exotropia 2559:Esotropia 2097:Retinitis 1795:Keratitis 1772:Scleritis 1705:Pterygium 1585:Madarosis 1532:Ectropion 1527:Entropion 1504:Chalazion 1200:ignored ( 1190:cite book 1134:205670933 583:cataracts 575:prognosis 494:scleritis 472:choroidal 424:Diagnosis 383:cytokines 377:(IL-23), 355:Dysacusia 347:cataracts 305:hyperemia 270:dysacusia 149:inner ear 108:Specialty 47:summarize 2955:Trachoma 2720:Diplopia 2415:Ischemic 2340:Pathways 2254:Glaucoma 2155:diabetic 2057:Cataract 1995:Synechia 1847:Meesmann 1815:Exposure 1800:herpetic 1698:allergic 1688:Chemosis 1622:Epiphora 1398:Orphanet 1330:32100373 1322:17468832 1242:11336942 1182:26310161 1126:20829689 1082:19668980 990:Medscape 896:45185875 888:25014114 826:23567866 772:46680743 764:16282153 706:24440284 587:glaucoma 569:Outcomes 533:such as 523:vitreous 521:or intra 519:subtenon 351:glaucoma 332:alopecia 328:poliosis 324:vitiligo 274:tinnitus 247:alopecia 243:vitiligo 239:poliosis 193:tinnitus 181:poliosis 168:Overview 153:meninges 2795:binasal 2782:Anopsia 2725:Scotoma 2519:palsies 2282:Red eye 2267:Floater 2074:Aphakia 2005:Choroid 1975:Hyphema 1965:Uveitis 1572:Eyelash 1379:D014607 644:. 2014. 573:Visual 315:serous 313:bullous 289:palsies 278:orbital 223:palsies 197:vertigo 177:Uveitis 155:of the 145:uveitis 141:melanin 2885:Miosis 2663:Myopia 2442:Kjer's 2190:photic 2089:Retina 1842:Fuchs' 1810:fungal 1787:Cornea 1764:Sclera 1547:Ptosis 1484:Eyelid 1472:Adnexa 1328:  1320:  1240:  1180:  1170:  1132:  1124:  1080:  1026:  894:  886:  824:  770:  762:  704:  597:Eponym 589:, and 418:IL-23R 399:trauma 367:T-cell 336:fundus 280:pain, 257:Phases 245:, and 199:, and 115:  2909:Other 2857:Pupil 2247:Other 1891:sicca 1743:Globe 1642:Orbit 1326:S2CID 1298:(PDF) 1130:S2CID 892:S2CID 768:S2CID 537:, or 500:Types 361:Cause 179:with 2049:Lens 1949:Iris 1499:Stye 1403:3437 1374:MeSH 1318:PMID 1238:PMID 1202:help 1178:PMID 1168:ISBN 1122:PMID 1078:PMID 1024:ISBN 884:PMID 822:PMID 760:PMID 702:PMID 609:and 466:and 446:and 381:and 326:and 307:and 291:and 233:and 1362:ICD 1310:doi 1230:doi 1226:131 1160:doi 1114:doi 1068:doi 874:doi 814:doi 752:doi 694:doi 553:or 458:or 412:of 213:CSF 133:VKH 2981:: 1401:: 1377:: 1366:10 1324:. 1316:. 1306:27 1304:. 1300:. 1277:^ 1236:. 1224:. 1210:^ 1194:: 1192:}} 1188:{{ 1176:. 1166:. 1142:^ 1128:. 1120:. 1110:21 1108:. 1090:^ 1076:. 1064:72 1062:. 1058:. 1038:^ 998:^ 988:. 904:^ 890:. 882:. 870:22 868:. 864:. 834:^ 820:. 810:12 808:. 780:^ 766:. 758:. 748:20 746:. 714:^ 700:. 690:13 688:. 650:^ 640:. 629:^ 585:, 549:, 541:, 484:, 462:, 454:, 349:, 319:. 268:, 253:. 241:, 229:, 225:, 218:, 211:, 195:, 159:. 1445:e 1438:t 1431:v 1364:- 1354:D 1332:. 1312:: 1244:. 1232:: 1204:) 1184:. 1162:: 1136:. 1116:: 1084:. 1070:: 1032:. 992:. 898:. 876:: 828:. 816:: 774:. 754:: 708:. 696:: 545:( 131:( 65:) 61:( 51:. 20:)

Index

Vogt–Koyanagi–Harada syndrome

lead section
summarize
provide an accessible overview

Specialty
Ophthalmology
Edit this on Wikidata
autoimmune
melanin
uveitis
inner ear
meninges
central nervous system

Uveitis
poliosis
blurring of vision
tinnitus
vertigo
hypoacusis
meningismus
meningitis
CSF
pleocytosis
cranial nerve
palsies
hemiparesis
transverse myelitis

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.