Clinical Case of Vogt–Koyanagi–Harada Syndrome

This clinical case study discusses a 17-year-old Korean female diagnosed with Vogt–Koyanagi–Harada (VKH) syndrome, a rare autoimmune disease characterized by bilateral granulomatous panuveitis and systemic symptoms like vitiligo, premature graying, hearing loss, alopecia, and neurological issues. The patient initially presented with low vision and eye redness, which worsened despite initial treatment for conjunctivitis. Further examination revealed exudative retinal detachment and other ocular abnormalities. The diagnosis of VKH was confirmed based on ophthalmological findings and ethnic background, despite the absence of typical systemic symptoms. Treatment with systemic corticosteroids led to significant improvement in vision and reduction in retinal detachment. Early diagnosis and appropriate therapy helped avoid severe complications, highlighting the importance of recognizing VKH even in atypical presentations.