Central Serous Retinopathy in the Fellow Eye following Treatment for Probable Vogt-Koyanagi-Harada Disease

Purpose: To report a case of probable Vogt-Koyanagi-Harada (VKH) leading to central serous chorioretinopathy (CSR) in the fellow eye following treatment with systemic steroids. Materials and methods: Patient presenting with unilateral probable VKH was treated with intravenous methylprednisolone and developed CSR in the fellow eye. This eye further went on to develop VKH eventually. Results: We describe an unusual case of probable VKH disease which developed CSR in the fellow eye following treatment and eventually developed characteristics of probable VKH in that eye too. Conclusion: CSR following systemic steroids is a well-known entity. In this case the patient developed CSR in the fellow eye of VKH and eventually developed characteristics of VKH. The clinical course along with the follow-up is discussed to manage this unique situation.