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Symmetric Peripheral Iris Depigmentation in Vogt-Koyanagi-Harada Syndrome
Eric B. Suhler, MD;
Ronald R. Buggage, MD;
Robert B. Nussenblatt, MD
Bethesda, Md
Ron Neumann, MD
Ramat Hasharon, Israel
Arch Ophthalmol. 2002;120:1104-1105.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 13-YEAR-OLD Israeli girl of Moroccan ancestry was referred for the
evaluation of chronic bilateral panuveitis. Four years earlier she had developed
diffuse vitiligo after sustaining a severe sunburn (Figure 1). Four months prior to her initial symptoms, she noted
the onset of severe headaches and decreased visual acuity. An ophthalmic evaluation
revealed anterior uveitis, elevated intraocular pressure, and ultrasonographic
evidence of bilateral vitritis. Treatment consisted of topical dexamethasone
sodium phosphate, timolol, and laser iridotomy for iris bombé in the
right eye. There was no history of ocular trauma or surgery.
Figure appears in full text version.
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Figure 1. Cutaneous depigmentation of the
retroauricular and digital skin.
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Our evaluation documented a visual acuity of 20/200 OD and 20/40 OS
with normal intraocular pressures. An examination revealed symmetric, peripheral,
transilluminating iris depigmentation (Figure
2 and Figure 3), which
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