上海市第十人民医院 风冷季用属第十人民医院 www.shdsyy.com.cn Diagnostic Criteria for VKH 1.No history of penetrating ocular trauma 2.No evidence of other ocular disease 3.Bilateral ocular involvement a.Early i.Diffuse choroiditis presenting as 1.Focal areas of subretinal fluid.or 2.Bullous serous retinal detachments ii.If equivocal fundus findings then must have both of below: 1.FA showing delayed choroidal perfusion,pinpoint leakage,pooling within the subretinal space,and optic nerve staining 2.Ultrasound with diffuse choroidal thickening without posterior scleritis b.Late i.History suggestive of above,or both ii and iii below,or multiple signs from iii: ii.Ocular depigmentation 1.Sunset glow fundus,or 2.Sugiura sign iii.Other ocular signs 1.Nummular chorioretinal depigmented scars,or 2.RPE clumping,or 3.Recurrent or chronic anterior uveitis 4.Neurologic/auditory findings a.Meningsmus,or b.Tinnitus.or c.CSF pleocytosis 5.Integumentary(skin)findings a.Alopecia,or b.Poliosis,or c.Vitiligo Complete VKH requires criteria I to 5 Incomplete VKH requires I to 3,and either 4 to 5 Probable VKH requires I to 3(isolated ocular disease)Diagnostic Criteria for VKH 1. No history of penetrating ocular trauma 2. No evidence of other ocular disease 3. Bilateral ocular involvement a. Early i. Diffuse choroiditis presenting as 1.Focal areas of subretinal fluid, or 2.Bullous serous retinal detachments ii. If equivocal fundus findings,then must have both of below: 1.FA showing delayed choroidal perfusion, pinpoint leakage, pooling within the subretinal space, and optic nerve staining 2.Ultrasound with diffuse choroidal thickening without posterior scleritis b. Late i. History suggestive of above, or both ii and iii below, or multiple signs from iii: ii.Ocular depigmentation 1.Sunset glow fundus,or 2.Sugiura sign iii. Other ocular signs 1.Nummular chorioretinal depigmented scars, or 2.RPE clumping, or 3.Recurrent or chronic anterior uveitis 4. Neurologic/auditory findings a. Meningsmus, or b. Tinnitus,or c. CSF pleocytosis 5. Integumentary(skin)findings a.Alopecia, or b.Poliosis, or c.Vitiligo Complete VKH requires criteria 1 to 5 Incomplete VKH requires 1 to 3, and either 4 to 5 Probable VKH requires 1 to 3(isolated ocular disease)