About the rare cases of Vogt–Koyanagi–Harada syndrome

Diagnosis of the classic form of Vogt–Koyanagi– Harada syndrome, as a rule, does not present special difficulties. The latter arise when the syndrome develops atypical. The cases described in the article indicate that the specific extraocular symptoms help in the timely diagnosis of the Vogt–Koyanagi–Harada syndrome and may appear long before the development of eye damage in the form of bilateral uveitis. Even in their absence, the presence of bilateral panuveitis on the background of minor meningism with indistinct neurological symptoms and insignificant pleocytosis in the cerebrospinal fluid made it possible to make a diagnosis correctly and start a successful pulse-therapy with steroids. In the development of complications, particularly, in complicated cataracts, the functional results after its removal by phacoemulsification with intraocular lens implantation can be quite successful on the background of adequate corticosteroid therapy. Key words: Vogt–Koyanagi–Harada syndrome, atypical course, clinical rare cases, extraocular symptoms, bilateral uveitis.