Long term follow-up of birdshot chorioretinopathy.
BACKGROUND
To report the long term follow-up of a case of Birdshot Chorioretinopathy treated with steroids and cyclosporine during three years and followed for twenty years.


METHODS
The patient was monitored with Snellen visual acuity, slit lamp examination, perimetry, colour vision test, fluorescein angiography, electroretinogram (ERG) and electrooculogram (EOG).


RESULTS
The retinal alterations progressed despite minimization of the intraocular inflammation. Vision dropped, perimetric and severe colour vision alterations appeared and the patient complained of nyctalopia.


CONCLUSIONS
The retinal findings in our case treated during three years resemble twenty years later tapetoretinal dystrophy and evoke the natural evolution of Birdshot Chorioretinopathy. The therapeutic approach was either inadequate due to early interruption or to inefficacy on the mechanisms of the retinal alterations.
Rasquin
F A
FA
Department of Ophthalmology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium. frasquin@ulb.ac.be
Pereleux
A A
AA
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D002825:Chorioretinitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D016572:Cyclosporine / Q000627:therapeutic use*; D018450:Disease Progression; D004334:Drug Administration Schedule; D004585:Electrooculography; D004596:Electroretinography; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011241:Prednisone / Q000008:administration & dosage; D012607:Scotoma / Q000175:diagnosis / Q000209:etiology; D016896:Treatment Outcome; D014792:Visual Acuity
D000305:Adrenal Cortex Hormones; D016572:Cyclosporine; D011241:Prednisone