Unilateral Multiple Serous Retinal Detachments in Polycythemia Vera Patient

Purpose: To report a case with new signs that could be caused by polycythemia vera itself or just a coincidence and managing it with systemic steroids. Methods: This was interventional case report, of a 59-year-old patient with polycythemia vera, presented with acute unilateral vision loss. Ophthalmological investigation revealed multiple serous retinal detachments with mild anterior chamber reaction these signs look similar to ocular signs of Vogt-Koyanagi-Harada disease, but in one eye and without systematic involvement of VKH. Polycythemia vera is a haematological disease that causes an increase number of red blood cells. The patient red blood cells were normal and he was compliance with Polycythemia vera treatment. All infectious tests were negative as well as autoimmune disease markers. Unilateral probable VKH disease was our diagnosis, patient was managed. Results: Polycythemia vera is a haematological disease that have a few ocular symptoms. These signs include multiple serous retinal detachments with uveitis that respond well to corticosteroids. Conclusion: Systematic corticosteroids which show a remarkable improvement in ocular signs and symptoms of Polycythemia vera that mimic VKH.