Atypical presentation of incomplete Vogt-Koyanagi- Harada Syndrome (VKH) in 9-year-old boy

A 9-year-old boy presented with an episode of loss of consciousness associated with preceding persistent headache for a month with severe photophobia and redness for 15 days. He received treatment for probable meningitis. Ocular features include anterior uveitis, serous retinal detachment and disc hyperaemia. The diagnosis of incomplete Vogt–Koyanagi–Harada (VKH) was made, and he received systemic corticosteroids and azathioprine along with topical steroid medications. VKH can present with prolonged prodromal symptoms; we as ophthalmologists should be vigilant to recognize atypical variants of the disease, especially in the paediatric age group.