{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:27Z","timestamp":1786649547298,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>A 33-year-old male presented with bilateral, painless diminution of vision. During a previous ophthalmic consultation elsewhere, he was diagnosed with papilledema. Neuroimaging revealed an Arnold Chiari Type 1 malformation, and an urgent neurosurgical intervention was performed. Currently, ophthalmic examination revealed an anterior chamber reaction, vitritis, optic disc edema (ODE), and exudative retinal detachment in both eyes. He was clinically diagnosed with Vogt\u2013Koyanagi\u2013Harada disease and treated with high-dose intravenous methylprednisolone, followed by immunosuppression, resulting in a favorable visual outcome. This case highlights the need for careful ophthalmic evaluation in cases of bilateral ODE before labeling it as \u201cpapilledema.\u201d<\/jats:p>","DOI":"10.4103\/ijo.ijo_1891_24","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T11:03:01Z","timestamp":1748430181000},"page":"781-785","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Vogt Koyanagi Harada disease with bilateral disc edema diagnosed as Arnold Chiari malformation with papilledema: The blurred margin between ophthalmology and neurology"],"prefix":"10.4103","volume":"73","author":[{"given":"Anjali","family":"Agrawal","sequence":"first","affiliation":[{"name":"Vitreoretina Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil Babanrao","family":"Gangwe","sequence":"additional","affiliation":[{"name":"Vitreoretina Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Singh","sequence":"additional","affiliation":[{"name":"Vitreoretina Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praher","family":"Shrivastava","sequence":"additional","affiliation":[{"name":"Comprehensive Ophthalmology Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sushmitha","sequence":"additional","affiliation":[{"name":"Comprehensive Ophthalmology Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepshikha","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, MGM Eye Institute, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.2147\/OPTH.S61650","article-title":"A study of the causes of bilateral optic disc swelling in Japanese patients","volume":"8","author":"Iijima","year":"2014","journal-title":"Clin Ophthalmol"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"16","DOI":"10.3109\/09273948.2015.1045085","article-title":"Bilateral posterior scleritis: Analysis of 18 cases from a large cohort of posterior scleritis","volume":"24","author":"Gonz\u00e1lez-L\u00f3pez","year":"2016","journal-title":"Ocul Immunol Inflamm"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"100390","DOI":"10.1016\/j.ensci.2021.100390","article-title":"Vogt-Koyanagi-Harada disease-A diagnostic pitfall for neurologists","volume":"26","author":"Song","year":"2021","journal-title":"eNeurologicalSci"},{"key":"R4-20260422","first-page":"47","article-title":"Papilledema: Epidemiology, etiology, and clinical management","volume":"7","author":"Rigi","year":"2015","journal-title":"Eye Brain"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1001\/archopht.1991.01080120057025","article-title":"The clinical profile of optic neuritis. 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