ISSN: 2161-1149 (Printed)
A previously healthy 18 year-old African-American female presented with unilateral vision loss associated with headaches. Initial ocular examination revealed an exudative retinal detachment involving the macula, disc edema, and choroidal striae worse in the right than the left eye. Fluorescein angiography showed multiple punctate hyperfluorescent lesions with leakage into the subretinal space. Extensive work up led to the diagnosis of Vogt- Koyanagi-Harada syndrome. The patient was treated with a prolonged taper of systemic prednisone and approximately 4 months after presentation, vision improved to 20/20 in the right eye and 20/25 in the left eye.