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We report a rare case of bilateral Vogt-Koyanagi-Harada (VKH) disease coexisting with sub hyaloid hemorrhage in one eye, in a 59-year-old female who presented with diminution of vision in both eyes, right more than left. The anterior segment examination was within normal limits. Fundus examination and imaging revealed features typical of VKH in one eye and these features masked by subhyaloid hemorrhage in the other eye. Varied differential diagnoses appropriately ruled out, subjective and clinical improvement with systemic steroids hits the bull's eye diagnosis of probable VKH with early disease manifestation coexisting with subhyaloid hemorrhage secondary to valsalva maneuver.

We evaluated the safety and efficacy of pars plana vitrectomy (PPV) with primary posterior iris claw intraocular lens (IOL) implantation in cases of posterior dislocation of nucleus and IOL without capsular support. This was a retrospective interventional case series. Fifteen eyes underwent PPV with primary posterior iris claw IOL implantation performed by a single vitreoretinal surgeon. The main outcome measures were changes in best corrected visual acuity and anterior and posterior segment complications. A total of 15 eyes were included in this study. Eight had nucleus drop, three had IOL drop during cataract surgery and four had traumatic posterior dislocation of lens. The final postoperative best corrected visual acuity was 20/60 or better in 11 patients. This procedure is a viable option in achieving good functional visual acuity in eyes without capsular support.

We evaluated the safety and effi cacy of pars plana vitrectomy (PPV) with primary posterior iris claw intraocular lens (IOL)implantation in cases of posterior dislocation of nucleus and IOL without capsular support. This was a retrospective interventional case series. Fift een eyes underwent PPV with primary posterior iris claw IOL implantation performed by a single vitreoretinal surgeon. The main outcome measures were changes in best corrected visual acuity and anterior and posterior segment complications. A total of 15 eyes were included in this study. Eight had nucleus drop, three had IOL drop during cataract surgery and four had traumatic posterior dislocation of lens. The fi nal postoperative best corrected visual acuity was 20/60 or bett er in 11 patients. This procedure is a viable option in achieving good functional visual acuity in eyes without capsular support. [ABSTRACT FROM AUTHOR]