A rare case of Vogt–Koyanagi–Harada disease presenting simultaneously with pituitary macroadenoma

Abstract

A 45-year-old female presented with sudden painful loss of vision in both eyes of 1-week duration. Clinical findings and imaging studies suggested Vogt–Koyanagi–Harada (VKH) disease. She was started on systemic steroids. Nonresolution of periocular pain and presence of color vision defects prompted us to do neuroimaging study which detected a pituitary macroadenoma. The patient underwent surgical removal of the mass lesion. There was a complete resolution of VKH features with systemic steroids.