Vogt–Koyanagi–Harada (VKH) disease is a T-cell-mediated autoimmune disorder characterized by
bilateral granulomatous panuveitis with various systemic manifestations. VKH disease rarely occurs in
the pediatric population, the clinical course tends to be aggressive. We report a case of
Vogt–Koyanagi–Harada (VKH) disease in a 12-year-old male child who presented with sudden severe
loss of vision 2/60 in both the eyes. The anterior segment examination showed cells, flare (3+), fine
keratic precipitates, posterior synechia and fundus examination showing hyperemic disc with blurred
margin and exudative retinal detachment. Color fundus photography, Fundus fluorescein angiography,
OCT macula and B-Scan further confirmed the diagnosis. The patient was treated with oral
prednisolone for 1.5 months with tapering dose. Visual acuity improved to 6/12 both eyes. To the best
of our knowledge paediatric VKH is rare and more aggressive but this patient responds very well with
oral corticosteroid alone.