4.4 Review

Vogt-Koyanagi-Harada disease

Journal

CURRENT OPINION IN OPHTHALMOLOGY
Volume 32, Issue 6, Pages 574-582

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ICU.0000000000000809

Keywords

autoimmune; classification criteria; multimodal imaging; uveitis; Voyt-Koyanagi-Harada

Categories

Funding

  1. Research to Prevent Blindness
  2. Department of Veterans Affairs
  3. Abbvie
  4. Clearside
  5. EyeGate
  6. EyePoint
  7. Eyevensys
  8. Gilead

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VKH is an autoimmune disease, recent advancements in bioinformatics, metabolomics, and genomics studies have improved our understanding of the disease pathophysiology. Multimodal imaging plays a crucial role in evaluation and treatment, and enhanced classification criteria released in 2021 provide standardized guidelines for clinical and research purposes. Further research is needed to elucidate pathogenic mechanisms and establish optimal therapeutic recommendations.
Purpose of review Here, we provide an overview of Vogt-Koyanagi-Harada disease (VKH), including recent updates in our understanding of disease pathophysiology, classification and therapeutics. Recent findings Advancements in bioinformatics, metabolomics and genomics investigations continue to illuminate VKH pathogenesis, and may provide insight into future therapeutic options. Multimodal imaging is indispensable in the initial evaluation of VKH, and is becoming increasingly important in understanding disease pathogenesis, as well as monitoring therapeutic response. Enhanced VKH classification criteria, released in 2021, provide standardized guidelines and terminology for clinical and research purposes. Modern research and imaging techniques continue to improve our understanding of VKH; more work is needed to further elucidate pathogenic mechanisms and establish optimal therapeutic recommendations.

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