02.16.24

Patient presents with bilateral BOV associated with headache and tinnitus. No other systemic signs and symptoms. History unremarkable. Fundus shows bilateral disc edema and pockets of subretinal fluid. This is the FA. What is your initial impression?

• posterior scleritis

• syphilitic placoid chorioretinitis

• APMPPE

• VKH

Which of the following do you expect to see on B-scan?

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What OCT finding is characteristic of this condition?

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Based on the 2001 Revised Diagnostic Criteria, how would you classify this patient's condition?

• complete

• incomplete

• probable

• possible

Based on the 2021 SUN classification criteria for this condition, what is your classification?

• Early stage

• Late stage

• Acute

• Chronic

Which of the following statements is TRUE based on the 2021 SUN Classification Criteria?

• There should be evidence of both Harada disease and panuveitis

• Panuveitis should be associated with at least 1 neurologic sign or symptom

• Panuveitis associated with CSF pleocytosis is sufficient to diagnose early stage VKH

• Panuveitis should have evidence of choroidal involvement on clinical exam, FA, ICG or OCT

Which of the following is evidence of Harada disease?

• Serous retinal detachment alone

• serous retinal detachment or septae on OCT

• serous retinal detachment or multiloculated appearance on FA

• serous retinal detachment and septae on OCT

Which of the following is TRUE regarding late-stage VKH?

• Late-stage in patients with sunset glow, or uveitis with poliosis

• Late-stage in patients with a history of early stage VKH and

  sunset glow, and/or

  uveitis with at least 2 cutaneous findings

• Late-stage in patients with a history of early stage VKH and

  uveitis and at least 1 cutaneous finding

• Uveitis should present as acute anterior uveitis, intermediate uveitis, or panuveitis with cystoid macular edema

Which of the following HLA types is not associated with VKH?

• HLA DR4

• HLA DR53

• HLA A29

• HLA DQ4

Which of the following statements is TRUE regarding VKH?

• B-cell mediated immune response against self-antigens associated with melanocytes

• Immune response targeted against dihydrofolate reductase proteins

• Starry sky appearance on FA due ot multiple pinpoint leakage in Bruch's membrane

• Sunset glow appearance of the fundus reflects loss of pigment at the RPE or choroid