Clinical presentation and outcome of chorioretinitis sclopetaria: a case series study.
OBJECTIVE
To report the clinical presentation, treatment approach and natural course of a series of chorioretinitis sclopetaria patients.


METHODS
Thirteen consecutive patients with clinical diagnosis of chorioretinitis sclopetaria were included in a case series study during 2000-2006. All patients underwent clinical examination, including the best-corrected Snellen visual acuity, slit-lamp examination, applanation tonometry, funduscopy and fundus photography. Three-port standard vitrectomy was performed in two patients due to dense vitreous haemorrhage and suspected retinal detachment in both cases. All patients were followed up at week 4, months 2 and 6 and then every 6 months.


RESULTS
The mean age of the patients was 16+/-6 (range: 5-27) years and 11 patients (84.6%) were male. The mean follow-up period was 37+/-18 (range: 17-82) months. Baseline best-corrected visual acuity ranged from no light perception (NLP) to 20/1600, and final visual acuity range was from NLP to 20/1200. Only one patient developed acute retinal detachment, and the retina remained attached in others through follow-up.


CONCLUSIONS
In spite of severe retinal and choroidal injuries in chorioretinitis sclopetaria, retinal detachment does not usually occur, probably due to spontaneous retinopexy and scar formation. Whilst dealing with chorioretinitis sclopetaria, it is important to make an accurate diagnosis to prevent unwarranted surgical intervention.
Ahmadabadi
Mehdi Nili
MN
Eye Research Center, Farabi Eye Hospital, Medical Sciences/University of Tehran, Qazvin Square, 1336616351 Tehran, Iran.
Karkhaneh
Reza
R
Roohipoor
Ramak
R
Tabatabai
Ali
A
Alimardani
Azam
A
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002825:Chorioretinitis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D012827:Silicone Oils / Q000627:therapeutic use; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000601:surgery; D014948:Wounds, Gunshot / Q000150:complications / Q000473:pathology* / Q000628:therapy; D055815:Young Adult
D012827:Silicone Oils