Ocular Abnormalities Occurring with Vitiligo

Daniel M. Albert, James J. Nordlund, Aaron B. Lerner

Research output: Contribution to journalArticlepeer-review

92 Scopus citations

Abstract

One hundred twelve patients with vitiligo were examined for ocular abnormalities. Discrete areas of depigmentation with associated pigment hyperplasia clinically appearing to involve the choroid and retinal pigment epithelium were observed in 44 patients, and active uveitis was seen in nine patients. The changes observed suggest that the spectrum of diseases that includes Harada's disease and the Vogt-Koyanagi syndrome may be broader than previously appreciated. Patients with these syndromes may represent the most severe examples of vitiligo and uveal inflammation. The occurrence of symptoms of night blindness in 12 patients and a family history of retinitis pigmentosa in two of these may signify a possible malfunction of the retinal pigment epithelium. Further evidence for a pigment epithelium disorder is suggested by the high incidence of an unusually prominent choroidal pattern in these patients.

Original languageEnglish (US)
Pages (from-to)1145-1158
Number of pages14
JournalOphthalmology
Volume86
Issue number6
DOIs
StatePublished - 1979
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology

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