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Arch Ophthalmol. 2004;122:281-283.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case.

A 38-year-old Mexican American man sought care because of decreased vision in both eyes for the past 9 months, although it had worsened in the past 6 weeks. He also complained of neck stiffness and headaches. He was a butcher, had lived in Mexico until age 22 years, and had visited there 2 years previously. His visual acuity was 20/70 OD and 20/100 OS. Fundus examination showed serous retinal detachments, and Vogt-Koyanagi-Harada syndrome was diagnosed.

He was treated with 100 mg of oral prednisone per day. His visual acuity improved slightly to 20/50 OD and 20/100 OS but then deteriorated to 20/200 OD and 20/60 OS. His serous detachments did not resolve. During the next 10 months, he was treated with 1 injection of 40 mg of sub-Tenon triamcinolone acetonide in the right eye, 25 mg of oral methotrexate weekly, 60 mg of oral prednisone daily, and 1 injection of . . . [Full Text of this Article]

Comment.
Esther M. Bowie, MD; James C. Folk, MD
Iowa City, Iowa

Charles H. Barnes, MD
Cedar Rapids, Iowa

Corresponding author: James C. Folk, MD, Department of Ophthalmology, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242 (e-mail: james-folk@uiowa.edu).

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