Two sides of corticosteroid treatment ·Letter to the Editor· A challenging case of tuberculosis-associated uveitis after corticosteroid treatment for Vogt-Koyanagi-Harada disease Tian-Wei Qian1,2, Su-Qin Yu1,2, Xun Xu1,2 1Department of Ophthalmology, Shanghai General Hospital, eyes (Figure 1A-1D): multifocal leakage in the early stage, Shanghai 200080, China pooling and dye leakage in the subretinal space in the late stage 2Shanghai Key Laboratory of Ocular Fundus Diseases, of the angiogram, and serous detachments with late pooling of Shanghai 200080, China dye. Optical coherence tomography (OCT) showed exudative Correspondence to: Su-Qin Yu. Department of Ophthalmology, retinal detachment with subretinal septa at the posterior pole Shanghai General Hospital, No.100, Haining Road, Shanghai (Figure 1E, 1F) in both eyes. 200080, China.
[email protected] One week after administration of oral metacortandracin (initial Received: 2018-02-23 Accepted: 2018-05-25 dose of 1.2 mg/kg·d), his vision improved to 20/200 in the right eye and 20/100 in the left eye. The dosage was then DOI:10.18240/ijo.2018.08.29 tapered gradually (10 mg every week until 20 mg/d, then 5 mg every month) with continuous improvements in BCVA. At Citation: Qian TW, Yu SQ, Xu X. A challenging case of tuberculosis- the 3-month visit post initial treatment, his BCVA returned to associated uveitis after corticosteroid treatment for Vogt-Koyanagi- 20/30 in both eyes. In addition, subretinal fluid was obviously Harada disease. Int J Ophthalmol 2018;11(8):1430-1432 absorbed (Figure 1G, 1H). However, at the 105-day visit, the patient experienced another Dear Editor, sudden decrease in vision to 20/60 with ciliary hyperemia am Dr.