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Vogt Koyanagi-Harada (VKH) Syndrome Vogt-Koyanagi disease causes bilateral uveitis, along with alopecia, vitiligo, and hearing loss. The choroidopathy may be associated with serous retinal detachments; when this occurs some speak of Harada's syndrome. Treatment with steroids may help to prevent visual loss. (A) VKH.The arrows point to the edge of a serous retinal detachment associated with VKHPhotograph courtesy of Paul Zimmerman, MD
B) VKH.The posterior pole shows a mottledappearance with loss of pigmentationcharacteristic of VKH. Although the fundus changes here are fairly mild, there can be dramatic fibrosisin severe cases. Photograph courtesy of Paul Zimmerman, MD (C) The optic disc may be swollen as well.The disc is swollen disc with retinal striae(see photograph 9.52).Photograph courtesy of Paul Zimmerman, MD