Abstract
Vogt–Koyanagi–Harada disease is a bilateral granulomatous panuveitis, generally symmetrical, associated to extraocular manifestations such as poliosis, vitiligo, alopecia, central nervous system, and auditory signs. It is considered an autoimmune disease, mediated by T cells, against melanocytes of uveal tract, skin, central nervous system, and inner ear. A genetic predisposition has been suggested. Patients have no history of ocular trauma and no clinical or laboratory evidence of other ocular or systemic disease. Therapy includes early, high doses of systemic steroids. Immunomodulatory therapy has also been used with good results.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Herbort CP, Mochizuki M. Editorial: Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2007;27:63–5.
Hutchinson J. A case of blanched eyelashes. Arch Surg. 1892;4:357.
Vogt A. Frühzeitiges Ergrauen der Zilien und Bemerkungen über den sogenannten plötlzichen Eintritt dieser Veränderung. Klin Monatsbl Augenheilkd. 1906;4:228–42.
Harada E. Beitrag zur klinischen Kenntnis von Michteitriger Choroiditis (choroiditis diffusa acta). Acta Soc Ophthalmol Jpn. 1926;30:356–78.
Koyanagi Y. Dysakusis, alopecia und Poliosis bei schwerer uveitis nicht traumatischen Ursprungs. Klin Montarsbl Augenheilkd. 1929;82:194–211.
Babel J. Syndrome de Vogt–Koyanagi (Uveite bilaterale, poliosis, alopecie, vitiligo et dysacousie). Schweiz Med Wochenschr Nr. 1932;44:1136–40.
Bruno MG, McPherson Jr SD. Harada’s disease. Am J Ophthalmol. 1949;32:513–22.
Mondkar SV, Biswas J, Ganesh SK. Analysis of 87 cases with Vogt–Koyanagi–Harada disease. Jpn J Ophthalmol. 2000;44:296–301.
Yang P, Ren Y, Li B, et al. Clinical characteristics of Vogt–Koyanagi–Harada syndrome in Chinese patients. Ophthalmology. 2007;114:606–14.
Rajendram R, Evans M, Rao NA. Vogt–Koyanagi–Harada disease. Int Ophthalmol Clin. 2005;45:115–34.
Sukavatcharin S, Tsai JH, Rao NA. Vogt–Koyanagi–Harada disease in Hispanic patients. Int Ophthalmol. 2007;27:143–8.
Damico FM, Kiss S, Young LH. Vogt–Koyanagi–Harada disease. Semin Ophthalmol. 2005;20:183–90.
Alaez C, Mora P, Arellanes L, et al. Strong association of HLA class II sequences in Mexicans with Vogt Koyanagi Harada’s disease. Hum Immunol. 1999;60:875–82.
Berker N, Ozdamar Y, Soykan E, et al. Vogt–Koyanagi–Harada syndrome in children: report of a case and review of the literature. Ocul Immunol Inflamm. 2007;15:351–7.
Soheilian M, Aletaha M, Yazdani S, et al. Management of pediatric Vogt–Koyanagi–Harada (VKH)-associated panuveitis. Ocul Immunol Inflamm. 2006;14:91–8.
Tabbara KF, Chavis PS, Freeman WR. Clinical manifestations and outcome of Vogt Koyanagi Harada syndrome in children compared to adults. Acta Ophthalmol Scand. 1998;76:723–6.
Rathinam SR, Vijayalakshmi P, Namperumalsamy P, Nozik RA, Cuningham ET. Vogt–Koyanagi–Harada syndrome in children. Ocul Immunol Inflamm. 1998;6:155–61.
Wakefield D, Chang JH. Epidemiology of uveitis. Int Ophthalmol Clin. 2005;45:1–13.
Wakabayashi T, Morimura Y, Miyamoto Y, et al. Changing patterns of intraocular inflammatory disease in Japan. Ocul Immunol Inflamm. 2003;11:277–86.
Yang P, Zhang Z, Zhou H, et al. Clinical patterns and characteristics of uveitis in a tertiary center for uveitis in China. Curr Eye Res. 2005;30:943–8.
Read RW. Vogt–Koyanagi–Harada disease. Ophthalmol Clin North Am. 2002;15:333–41.
Arellanes-García L, Bautista N, Mora P, et al. HLA-DR is strongly associated with Vogt Koyanagi Harada disease in Mexican Mestizo patients. Ocul Immunol Inflamm. 1998;6:93–100.
Snyder DA, Tessler HH. Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 1980;90:69–75.
Nakamura S, Nakazawa M, Yoshioka M, et al. Melanin-laden macrophages in cerebrospinal fluid in Vogt–Koyanagi–Harada syndrome. Arch Ophthalmol. 1996;114:1184–8.
Ostergaard J, Goldschmidt E, Andersen N. Vogt–Koyanagi–Harada syndrome in a Greenlandic Inuit. Acta Ophthalmol. 2008;86:576–8.
Habeyche-Cardoso I, Zajdenweber ME, Muccioli C, et al. Applicability of the 2001 revised diagnostic criteria in Brazilian Vogt–Koyanagi–Harada disease patients. Arq Bras Oftalmol. 2008;71:67–70.
Ishii T, Ohnuma K, Murakami A, et al. CD26- mediated signaling for T cell activation occurs in lipid rafts through its association with CD45RO. PNAS. 2001;90:12138–43.
Ohta K, Yoshimura N. Expression of Fas antigen on helper T lymphocytes in Vogt–Koyanagi–Harada disease. Graefes Arch Clin Exp Ophthalmol. 1998;236:434–9.
Inomata H, Sakamoto T. Immunohistochemical studies of Vogt–Koyanagi–Harada disease with sunset sky fundus. Curr Eye Res. 1990;9:35–40.
Norose K, Yano A. melanoma specific Th1 cytotoxic T lymphocyte lines in Vogt–Koyanagi–Harada disease. Br J Ophthalmol. 1996;80:1002–8.
Sugita S, Takase H, Kawaguchi T, et al. Cross-reaction between tyrosinase peptides and cytomegalovirus antigen by T cells from patients with Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2007;27:87–95.
Gocho K, Kondo I, Yamaki K. Identification of autorreactive T cells in Vogt–Koyanagi–Harada disease. Invest Ophthalmol Vis Sci. 2001;42:2004–9.
Yamaki K, Gocho K, Hayakawa K, Kondo I, Sakuragi S. Tyrosinase family proteins are antigens specific to Vogt–Koyanagi–Harada disease. J Immunol. 2000;165:7323–9.
Damico FM, Cunha-Neto E, Goldberg AC, Iwai LK, Marin ML, Hammer J, Kalil J, Yamamoto JH. T-cell recognition and cytokine profile induced by melanocyte epitopes in patients with HLA-DRB1*0405-positive and –negative Vogt–Koyanagi–Harada Uveitis. Invest Ophthalmol Vis Sci. 2005;46:2465–71.
Li B, Yang P, Zhou H, Huang X, Jin H, Chu L, Gao Y, Zhu L, Kijlstra A. Upregulation of T-bet expression in peripheral blood mononuclear cells during Vogt–Koyanagi–Harada disease. Br J Ophthalmol. 2005;89:1410–2.
Chan C-C, Palestine AG, Nussenblatt RB, Roberge FG, Ben Ezra D. Antiretinal autoantibodies in Vogt Koyanagi Harada syndrome, Behçet disease, and sympathetic ophthalmia. Ophthalmology. 1985;92:1025–8.
Bassili SS, Peyman GA, Gebhardt BM, Daun M, Ganiban GJ, Rifai A. Detection of Ebstein-Barr virus DNA by polymerase chain reaction in the vitreous from a patient with Vogt–Koyanagi–Harada syndrome. Retina. 1996;16:160–1.
Touitou V, Bodaghi B, Cassoux N, et al. Vogt–Koyanagi–Harada disease in patients with chronic hepatitis C. Am J Ophthalmol. 2005;140:949–52.
Sene D, Touitou V, Bodaghi B, et al. Intraocular complications of IFN-alpha and ribavirin therapy in patients with chronic viral hepatitis C. World J Gastroenterol. 2007;13:3137–40.
Kasahara A, Hiraide A, Tomita N, et al. Vogt–Koyanagi–Harada disease occurring during interferon alpha therapy for chronic hepatitis C. J Gastroenterol. 2004;39:1106–9.
Lanier LL. NK cell recognition. Annu Rev Immunol. 2005;23:225.
Vilches C, Parham P. KIR: diverse, rapidly evolving receptors of innate and adaptive immunity. Annu Rev Immunol. 2002;20:217.
Levinson RD, Du Z, Luo L, et al. KIR and HLA gene combinations in Vogt–Koyanagi–Harada disease. Hum Immunol. 2008;69:349–53.
Chi W, Yang P, Li B, et al. IL-23 promotes CD4+ T cells to produce IL-17 in Vogt–Koyanagi–Harada disease. J Allergy Clin Immunol. 2007;119:1218–24.
Fang W, Yang P. Vogt–Koyanagi–Harada syndrome. Curr Eye Res. 2008;33:517–23.
Rao N. Pathology of Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2007;27:81–5.
Font RL, Fine BS, Messmer E, Rawley JF. Light and electron microscopic study of Dale’ n–Fuchs nodules in sympathetic ophthalmia. Ophthalmology. 1983;90:66–75.
Sakamoto T, Murata T, Inomata H. Class II major histocompatibility complex on melanocytes of Vogt–Koyanagi–Harada disease. Arch Ophthalmol. 1991;109:1270–4.
Perry HD, Font RL. Clinical and histopathologic observations in severe Vogt Koyanagi Harada syndrome. Am J Ophthalmol. 1977;83:242–54.
Inomata H, Rao NA. Depigmented atrophic lesions in sunset glow fundi of Vogt–Koyanagi–Harada disease. Am J Ophthalmol. 2001;131:607–14.
Friedman AH, Deutsch-Sokol RH. Sugiura’s sign: perilimbal vitiligo in the Vogt–Koyanagi–Harada syndrome. Ophthalmology. 1981;88:1159–65.
Shindo Y, Ohno S, Nakamura S, Onoé K, Inoko H. A significant association of HLA-DPB1*0505 with Vogt–Koyanagi–Harada’s disease results from a linkage disequilibrium with the primarily associated allele, DRB1*0405. Tissue Antigens. 1996;47:344–5.
Shindo Y, Inoko H, Yamamoto T, Ohno S. HLA-DRB1 typing of Vogt–Koyanagi–Harada’s disease by PCR-RFLP and the strong association with DRB1*0405 and DRB1*0410. Br J Ophthalmol. 1994;78:223–6.
Zhang XY, Wang XM, Hu TS. Profiling human leukocyte antigens in Vogt Koyanagi Harada syndrome. Am J Ophthalmol. 1992;113:567–72.
Martinez JA, Lopez PF, Stenberg P, et al. Vogt Koyanagi Harada syndrome in patients with Cherokee Indian ancestry. Am J Ophthalmol. 1992;114:615–20.
Weisz JM, Holland GN, Roer LN, et al. HLA association in Hispanic patients with Vogt Koyanagi Harada syndrome. Invest Ophthalmol Vis Sci. 1994;35:2097.
Gorodezky C, Loon J, Moliterno R, et al. HLA in some Latin American populations: Mexican, Brazilians, Venezuelans and Uruguayans. In: Tsuji K, Aizawa M, Sasasuki R, editors. HLA 1991. Proceedings of the eleventh international histocompatibility workshop and conference. Vol 1. Oxford: Oxford Science Publications; 1992. p. 662.
Ishikawa A, Shiono T, Uchida S. Vogt–Koyanagi–Harada disease in identical twins. Retina. 1994;14:435–7.
Goldberg AC, Yamamoto JH, Chiarella JM, Marin ML, et al. HLA-DRB1*0405 is the predominant allele in Brazilian patients with Vogt–Koyanagi–Harada disease. Hum Immunol. 1998;59:183–8.
Islam SM, Numaga J, Fujino Y, Hirata R, et al. HLA class II genes in Vogt–Koyanagi–Harada disease. Invest Ophthalmol Vis Sci. 1994;35:3890–6.
Read RW, Holland GN, Rao NA, Tabbara KF, et al. Revised diagnostic criteria for Vogt–Koyanagi–Harada disease: report of an international committee on nomenclature. Am J Ophthalmol. 2001;131:647–52.
Goto H, Rao NA. Sympathetic ophthalmia and Vogt Koyanagi Harada syndrome. Int Ophthalmol Clin. 1990;30:274–85.
Dahbour SS. MRI documented acute myelitis in a patient with Vogt–Koyanagi–Harada syndrome: first report. Clin Neurol Neurosurg. 2009;111:200–2.
Sugiura S. Vogt–Koyanagi–Harada disease. Jpn J Ophthalmol. 1978;22:9–35.
Moorthy RS, Inomata H, Rao NA. Vogt Koyanagi Harada syndrome. Surv Ophthalmol. 1995;39:265–92.
Yoshioka H. Early times changes in Harada’s syndrome. Jpn J Ophthalmol. 1967;21:135–50.
Tomimori S, Uyama M. Shallow anterior chamber and transient myopia as initial signs of Harada’s disease. J Clin Ophthalmol. 1977;31:1271–3.
Yamamoto N, Naito K. Annular choroidal detachment in a patient with Vogt–Koyanagi–Harada disease. Graefes Arch Clin Exp Ophthalmol. 2004;242:355–8.
Shirato S, Hayashi K, Masuda K. Acute angle closure glaucoma as an initial sign of Harada’s disease – report of two cases. Jpn J Ophthalmol. 1980;24:260–6.
Kanter P, Goldberg MF. Bilateral uveitis with exudative retinal detachment: angiographic appearance. Arch Ophthalmol. 1974;91:13–9.
Taylor S, Lightman S. Recurrent anterior uveitis in patients with Vogt–Koyanagi–Harada syndrome. Arch Ophthalmol. 2004;122:922–3.
Sachdev N, Gupta V, Gupta A, Singh R. Posterior segment recurrences in Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2008;28:339–45.
Sonoda S, Nakao K, Ohba N. Extensive chorioretinal atrophy in Vogt–Koyanagi–Harada disease. Jpn J Ophthalmol. 1999;43:113–9.
Attia S, Zaouali S, Bettaeb A, Ben Yahia S, et al. Peripheral iris depigmentation and ocular hypotony: result of the natural course of non-treated Vogt–Koyanagi–Harada (VKH) disease. Int Ophthalmol. 2007;27:221–2.
Manager III CC, Ober RR. Retinal arteriovenous anastomoses in the Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 1980;89:186–91.
Chung YM, Yeh TS. Linear streak lesions of the fundus equator associated with Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 1992;109:745–6.
Beniz J, Forster DJ, Lean JS, Smith RE, et al. Variations in clinical features of the Vogt–Koyanagi–Harada syndrome. Retina. 1991;11:275–80.
Arellanes-García L. Vogt Koyanagi Harada (VKH) syndrome. In: Ben-Ezra D, editor. Ocular inflammation: basic and clinical concepts. London: Dunitz; 1999. p. 347–62.
Kamodi A, Szegedi A, Papp A, Seres A, et al. Vogt–Koyanagi–Harada disease presenting initially as aseptic meningoencephalitis. Eur J Neurol. 2000;7:719–22.
Özdermirkiran T, Sagtas F, Celebisoy M, Arici S, et al. Vogt–Koyanagi–Harada syndrome with severe neurologic impairment. J Neurol Sci. 2009;26(2):232–6.
Sil A, Chatrath P, Gatland DJ. Deafness in Vogt–Koyanagi–Harada syndrome. J Laryngol Otol. 2006;120:416–8.
Hoshi H, Tamada Y, Murata Y, et al. Changes in audiogram in the course of Harada’s disease. Jpn J Clin Ophthalmol. 1977;3I:23–30.
Tavsanli M, Uluduz D, Saip S, Kendiroglu G. Vogt–Koyanagi–Harada disease: headache as an initial manifestation. J Headache Pain. 2008;9:255–6.
Igawa K, Endo H, Yokozeki H, Nishioka K, et al. Alopecia in Vogt–Koyanagi–Harada syndrome. JEADV. 2006;20:214–38.
Arellanes-García L, Hernández-Barrios M, Fromow-Guerra J, Cervantes-Fanning P. Fluorescein fundus angiographic findings in Vogt–Koyanagi–Harada syndrome. Int Ophthalmol. 2007;27:155–61.
Brinkley JR, Dugel PU, Rao NA. Fluorescein angiographic findings in the Vogt–Koyanagi–Harada. Annual meeting American Academy of Ophthalmology, 1992, Dallas.
Andreoli CM, Foster CS. Vogt–Koyanagi–Harada disease. Int Ophthalmol Clin. 2006;46:111–22.
Rao NA, Inomata H, Moorthy RS. Vogt–Koyanagi–Harada syndrome. In: Pepose JS, Holland GN, Wilhelmus KR, editors. Ocular Infection and Immunity. St Louis: Mosby-Year Book; 1986. p. 734–53.
Moorthy RS, Chong LP, Smith RE, Rao NA. Subretinal neovascular membranes in Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 1993;116:164–70.
Wu W, Wen F, Huang S, Luo G, et al. Indocyanine green angiographic findings of Dalen-Fuchs nodules in Vogt–Koyanagi–Harada disease. Graefes Arch Clin Exp Ophthalmol. 2007;245:937–40.
Bouchenaki N, Herbort CP. The contribution of indocyanine green angiography to the appraisal and management of Vogt–Koyanagi–Harada disease. Ophthalmology. 2001;108:54–64.
Mantovani A, Resta A, Herbort C, Abu El Astar A, et al. Work-up, diagnosis and management of acute Vogt–Koyanagi–Harada disease: a case of acute myopization with granulomatous uveitis. Int Ophthalmol. 2007;27:105–15.
Tsai J, Sukavatcharin S, Rao N. Utility of lumbar puncture in diagnosis of Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2007;27:189–94.
Wada S, Kohno T, Yanagihara N, et al. Ultrasound biomicroscopic study of ciliary body changes in the post-treatment phase of Vogt–Koyanagi–Harada disease. Br J Ophthalmol. 2002;86:1374–9.
Wang Y, Gaudio P. Infliximab therapy for 2 patients with Vogt–Koyanagi–Harada syndrome. Ocul Immunol Inflamm. 2008;16:167–71.
Pahk P, Todd D, Blaha G, Soukiasa S, et al. Intravascular lymphoma masquerading as Vogt–Koyanagi–Harada syndrome. Ocul Immunol Inflamm. 2008;16:123–6.
Jacobson JH, Popkin A, Hirose T. The electroretinogram in Harada’s disease. Am J Ophthalmol. 1967;64:1152–4.
Berumen G, Arellanes L, Jimenez-Sierra JM, Angel E. Psychophysical and electroretinographic evaluation of inactive Vogt Koyanagi Harada syndrome. Ophthalmology. 1992;99(Suppl):138.
Suárez-Licona A, Arellanes-García L, Ruíz-Cruz M, Recillas-Gispert C. Long term complications and functional evolution of visual acuity in Vogt Koyanagi Harada disease patients. Invest Ophthalmol Vis Sci. 2004;45:E-(abstract) 2696.
Chee SP, Luu CD, Yeo IYS, Cheng BCL, Lim WK, Jap AHE. Visual function and ERG in Vogt–Koyanagi–Harada disease (VKH). In: Fourth international symposium on Vogt–Koyanagi–Harada disease. Monaco, 23–25 May 2005.
Jap A, Luu CD, Yeo I, Chee SP. Correlation between peripapillary atrophy and corticosteroid therapy in patients with Vogt–Koyanagi–Harada disease. Eye. 2008;22:240–5.
Yang P, Fang W, Wang L, Wen F, et al. Study of macular function by multifocal electroretinography in patients with Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 2008;146:767–71.
Parc C, Guenoun JM, Dhote R, Brézin A. Optical coherence tomography in the acute and chronic phases of Vogt–Koyanagi–Harada disease. Ocul Immunol Inflamm. 2005;13:225–7.
Gupta V, Gupta A, Gupta P, Sharma A. Spectral-domain cirrus optical coherence tomography of choroidal striations seen in the acute stage of Vogt–Koyanagi–Harada disease. Am J Ophthalmol. 2009;147:148–53.
Maruyama Y, Kishi S. Tomographic features of serous retinal detachment in Vogt–Koyanagi–Harada syndrome. Ophthalmic Surg Lasers Imag. 2004;35: 239–42.
Tsujikawa A, Yamashiro K, Yamamoto K, Nonaka A, et al. Retinal cystoid spaces in acute Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 2005;139:670–7.
Lee JE, Park SW, Lee JD, Choi HE, et al. Edema of the photoreceptor layer in Vogt–Koyanagi–Harada disease observed using high-resolution optical coherence tomography. Kor J Ophthalmol. 2009;23:74–9.
Moreno-Páramo D, Concha-del-Río LE, Navarro P, Arellanes L. Spectral domain OCT findings in patients with Vogt–Koyanagi–Harada disease. Invest Ophthalmol Vis Sci. 2010;51:E-Abstract 5893.
Yamamura K, Mori K, Hieda O, Kinoshita S. Anterior segment optical coherence tomography findings of acute angle- closure glaucoma in Vogt–Koyanagi–Harada disease. Jpn J Ophthalmol. 2008;52:231–8.
Benson WE. Posterior scleritis. Surv Ophthalmol. 1988;132:297–316.
Jampol LM, Sieving PA, Pugh D, et al. Multiple evanescent white dot syndrome: 1. Clinical findings. Arch Ophthalmol. 1984;102:671–4.
Schepens CL, Brockhurst RJ. Uveal effusion. 1. Clinical picture. Arch Ophthalmol. 1963;70: 189–201.
Jabs DA, Johns CJ. Ocular involvement in chronic sarcoidosis. Am J Ophthalmol. 1986;102:297–301.
Ohara K, Okubo A, Sasaki H, Kamata K. Intraocular manifestations of systemic sarcoidosis. Jpn J Ophthalmol. 1992;36:452–7.
Kosmorsky G, Meisler D, Rice T, Meziane M, Lowder C. Chest computed tomography and mediastinoscopy in the diagnosis of sarcoidosis-associated uveitis. Am J Ophthalmol. 1998;126:132–4.
Mikkikä HO, Seppälä IJ, Viljanen MK, Peltomaa MP. The expanding clinical spectrum of Lyme borreliosis. Ophthalmology. 2000;107:581–7.
Krist D, Wenkel H. Posterior scleritis associated with Borrelia burgdorferi(Lyme disease) infection. Ophthalmology. 2002;109:143–5.
Melski JW. Lyme borreliosis. Semin Cutan Med Surg. 2000;19(1):10–8.
Rubsamen PE, Gass JD. Vogt–Koyanagi–Harada syndrome. Clinical course, therapy, and long-term visual outcome. Arch Ophthalmol. 1991;109:682–7.
Samamoto Y, Ohno S, Matsuda H. Studies on corticosteroid therapy in Vogt–Koyanagi–Harada disease. Ophthalmologica. 1990;201:162–7.
Yamanaka E, Ohguro N, Yamamoto S, et al. Evaluation of pulse corticosteroid therapy for Vogt–Koyanagi–Harada disease assessed by optical coherence tomography. Am J Ophthalmol. 2002;134:454–6.
Kitaichi N, Horie Y, Ohno S. Prompt therapy reduces the duration of systemic corticosteroid in Vogt–Koyanagi–Harada disease. Graefes Arch Clin Exp Ophthalmol. 2008;246:1641–2.
Ohno S, Char DH, Kimura S, O’ Coonor R. Vogt Koyanagi Harada syndrome. Am J Ophthalmol. 1977;83:735–40.
Guo YL, Du L, He JF. Correlation between sunset glow fundus and initial dosage of corticosteroid in patients with Vogt–Koyanagi–Harada disease. Am J Ophthalmol. 2009;147:946.
Jabs DA, Rosenbaum JT, Foster CS, et al. Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol. 2000;130: 492–513.
Paredes I, Ahmed M, Foster CS. Immunomodulatory therapy for VKH patients as first line therapy. Ocul Immunol Inflamm. 2006;14:87–90.
Rao NA. Treatment of Vogt– Koyanagi–Harada disease by corticosteroids and immunosuppresive agents. Ocul Immunol Inflamm. 2006;14:71–2.
Lustig MJ, Cunningham Jr ET. Use of immunosuppressive agents in uveitis. Curr Opin Ophthalmol. 2003;14:399–412.
Goldstein DA, Fontanilla FA, Kaul S, et al. Long-term follow-up of patients treated with short-term high-dose chlorambucil for sight-threatening ocular inflammation. Ophthalmology. 2002;109:370–7.
Baltatzis S, Tufail F, Yu EN, et al. Mycophenolate mofetil as an immunomodulatory agent in the treatment of chronic ocular inflammatory disorders. Ophthalmology. 2003;110:1061–5.
Kim SJ, Yu HG. The use of low- dose azathioprine in patients with Vogt–Koyanagi–Harada disease. Ocul Immunol Inflamm. 2007;15:381–7.
Agarwal M, Ganesh S, Biswas J. Triple agent immunosuppressive therapy in Vogt–Koyanagi–Harada syndrome. Ocul Immunol Inflamm. 2006;14:333–9.
Nussenblatt RB, Fortin E, Schiffman R, et al. Treatment of noninfectious intermediate and posterior uveitis with the humanized anti-Tac mAb: a phase I/II clinical trial. Proc Natl Acad Sci USA. 1999;96:7462–6.
Helveston WR, Gilmore R. Treatment of Vogt–Koyanagi–Harada syndrome with intravenous immunoglobulin. Neurology. 1996;46:584–5.
Perente I, Utine C, Cakir H, Kaya V, et al. Management of ocular complications of Vogt–Koyanagi–Harada syndrome. Int Ophthalmol. 2009;29:33–7.
Andrade R, Muccioli C, Farah M, Nussenblat R, Belfort R. Intravitreal triamcinolone in the treatment of serous retinal detachment in Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 2004;137: 572–4.
Moreker M, Lodhi S, Pathengay A. Role of intravitreal triamcinolone as an adjuvant in the management of Vogt–Koyanagi–Harada disease. Int J Ophthalmol. 2007;55(6):479–80.
Read R, Yu F, Accortint M, Bodagui B, et al. Evaluation of the effect on outcomes of the route of administration of corticosteroids in acute Vogt–Koyanagi–Harada disease. Am J Ophthalmol. 2006;142:119–24.
Miyata N, Sugita M, Nakamura S, Isobre K, et al. Treatment of Vogt–Koyanagi–Harada’s disease during pregnancy. Jpn J Ophthalmol. 2001;45:177–80.
Minnakawa R, Ohno S, Hirose S, et al. Clinical manifestations of Vogt Koyanagi Harada disease. Jpn J Clin Ophthalmol. 1985;39:1249–53.
Ohno S, Minakawa R, Matsuda H. Clinical studies of Vogt–Koyanagi–Harada’s disease. Jpn J Ophthalmol. 1988;32:334–43.
Moorthy RS, Rajeev B, Smith RE, Rao NA. Incidence and management of cataracts in Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 1994;118:197–204.
Ganesh S, Padmaja MS, Babu K, Biswas J. Cataract surgery in patients with Vogt–Koyanagi–Harada syndrome. J Cataract Refract Surg. 2004;30:95–100.
Foster RE, Knight CD, Lowder CY. Subfoveal choroidal neovascular membrane excision in Vogt–Koyanagi–Harada syndrome. Retina. 2000;20: 547–9.
Farah ME, Costa RA, Muccioli C, et al. Photodynamic therapy with verteporfin for subfoveal choroidal neovascularization in Vogt–Koyanagi–Harada syndrome. Am J Ophthalmol. 2002;134:137–9.
Nowilaty SR, Bouhaimed M. Photodynamic therapy for subfoveal choroidal neovascularisation in Vogt–Koyanagi–Harada disease. Br J Ophthalmol. 2006;90:982–6.
Ketata A, Ben Zina Z, Hajji D, et al. Two cases of subretinal neovascular membrane in Vogt–Koyanagi–Harada syndrome (in French). J Fr Ophtalmol. 2006;29:302–6.
Hogan A, Behan U, Kilmartin DJ. Outcomes after combination photodynamic therapy and immunosuppression for inflammatory subfoveal choroidal neovascularisation. Br J Ophthalmol. 2005;89:1109.
Rechtman E, Danis RP, Pratt LM, et al. Intravitreal triamcinolone with photodynamic therapy for subfoveal choroidal neovascularisation in age related macular degeneration. Br J Ophthalmol. 2004;88:344–7.
Concha L, Kon V, Unzueta J, Navarro P, Arellanes L. Intravitreal bevacizumab for the treatment of neovascular membrane in patients with intraocular inflammation. Invest Ophthalmol Vis Sci. 2007;48: E-Abstract 5144.
Wu L, Evans T, Saravia M, Schlaen A. Intravitreal bevacizumab for choroidal neovascularization secondary to Vogt–Koyanagi–Harada syndrome. Jpn J Ophthalmol. 2009;53:57–60.
Kuo I, Rechdouni A, Rao N, Johnston R, et al. Subretinal fibrosis in patients with Vogt–Koyanagi–Harada disease. Ophthalmology. 2000;107:1721–8.
Lertsumitkul S, Whitcup SM, Nussenblatt RB, Chan CC. Subretinal fibrosis and choroidal neovascularization in Vogt–Koyanagi–Harada syndrome. Graefes Arch Clin Exp Ophthalmol. 1999;237:1039–45.
Sternberg Jr P, Machemer R. Subretinal proliferation. Am J Ophthalmol. 1984;98:456–62.
Kawaguchi T, Horie S, Bouchenaki N, Ohno-Matsui K, Mochizuki M, Herbort CP. Suboptimal therapy controls clinically apparent disease but no subclinical progression of Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2010;30:41–50.
Bykhovskaya I, Thorne JE, Kempen JH, Dunn JP, Jabs DA. Vogt–Koyanagi–Harada disease: clinical outcomes. Am J Ophthalmol. 2005;140:674–8.
Al-Kharashi AS, Aldibhi H, Al-Fraykh H, Kangave D, Abu El Asrar A. Prognostic factors in Vogt–Koyanagi–Harada disease. Int Ophthalmol. 2007;27:201–10.
Arellanes-García L, Concha-del-Río LE, Dominguez F. Prognostic value of extraocular manifestations in VKH disease. Combined meeting 6th international workshop on Vogt–Koyanagi–Harada disease and sympathetic ophthalmia 2nd international workshop on SARCOIDOSIS. VKH SARCOID 2009. Singapore; 2009.
Shimizu K. Harada’s, Behcet’s, Vogt–Koyanagi syndromes – are they clinical entities? Trans Am Acad Ophthalmol Otolaryngol. 1973;77:OP281–90.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
de Lourdes Arellanes-García, M., Concha-del-Río, L.E., del Carmen Preciado-Delgadillo, M., Recillas-Gipsert, C. (2013). Vogt–Koyanagi–Harada Disease. In: Arévalo, J. (eds) Retinal and Choroidal Manifestations of Selected Systemic Diseases. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3646-1_19
Download citation
DOI: https://doi.org/10.1007/978-1-4614-3646-1_19
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-3645-4
Online ISBN: 978-1-4614-3646-1
eBook Packages: MedicineMedicine (R0)