Bilateral Retinal Pigment Epithelium Tears In Acute Vogt–koyanagi–harada Disease

To report an original case of retinal pigment epithelial (RPE) tears in acute Vogt–Koyanagi–Haradadisease. Observational case report of a patient who presented with RPE tears in acute Vogt–Koyanagi–Harada disease, who underwent clinical examination, fluorescein and infracyanine green angiographies, and optical coherence tomography evaluation. A 42-year-old woman presented with bilateral serous retinal detachment related to Vogt–Koyanagi–Harada disease. Eight days after high-dose systemic corticosteroids, she developed bilateral RPE tears. At the 15-month follow-up, visual acuity was 20/20 in both eyes. The RPE tears are rarely observed in acute Vogt–Koyanagi–Harada disease. The RPE tears were likely caused by acute inflammation of the choroidal stroma.