Wednesday 14 January 2015

New revised criteria for diagnosis of Vogt Koyanagi Harada Syndrome


5 crieterias :
1. No history of penetrating trauma or surgery.
2. No evidence of any ocular disease.
3.  (a) Early stage characterized by
             * diffuse choroiditis seen with or    
               without optic nerve involvement and
               vitritis.
              *presenceof bullous RD.
      (b) Chronic or late stage characterized by
             * Siguira sign
             * Sunset glow fundus
             * Dalen Fuch nodules
4. Neurological and auditory symptoms
5. Integumentary symptoms
Based on these crieteria VKH has been described in 3 subtypes :
Complete VKH : all 5 criterias present
Incomplete VKH : crieteria 1 to 3 with either
                                crieteria 4 or 5
Probable disease : criteria 1 to 3
    

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