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Year : 2017  |  Volume : 29  |  Issue : 2  |  Page : 146-147

Author's reply

Department of Ophthalmology, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Date of Web Publication10-Aug-2017

Correspondence Address:
Natasha Radhakrishnan
Department of Ophthalmology, Amrita Institute of Medical Sciences, Kochi, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-6677.212820

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How to cite this article:
Radhakrishnan N. Author's reply. Kerala J Ophthalmol 2017;29:146-7

How to cite this URL:
Radhakrishnan N. Author's reply. Kerala J Ophthalmol [serial online] 2017 [cited 2021 May 7];29:146-7. Available from: http://www.kjophthal.com/text.asp?2017/29/2/146/212820

I thank you for your review of the case presentation and the relevant points raised. While I agree that incompletely treated Vogt-Koyanagi-Harada can have bizarre presentations. This patient had been on adequate immunosuppression for more than a month in spite of which her fluid and retinal pigment epithelial (RPE) changes were progressing which is what was strange and had us looking for an alternate diagnosis.

I would also like to highlight that the peculiar and extensive leopard skin change of the RPE is definitely a pointer that some immune mechanism against retinal antigens is at play and the possibility of paraneoplastic syndromes should be kept in mind.

Thank you Dr. Rajesh once again for your valuable inputs.

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