부산대학교 도서관

Purpose: We describe the course of a patient diagnosed with birdshot chorioretinopathy (BSCR) in early adulthood and summarize clinical findings from similar BSCR patients reported in the literature. Observations: A 37-year-old male presented to our tertiary uveitis facility with bilateral ocular discomfort, hazy vision, and floaters. Ocular examination was notable for vitritis, optic disc edema, and ovoid hypopigmented chorioretinal lesions, visible on indocyanine green chorioangiography as multiple hypocyanescent spots in the intermediate phase. Full-field electroretinography and visual evoked potential showed global retinal dysfunction and optic nerve dysfunction. Laboratory evaluations were notable only for human leukocyte antigen (HLA)-A29 positivity. The patient was diagnosed with BSCR and started on oral prednisone and eventually managed with infliximab. Conclusions and Importance: BSCR can affect patients in early adulthood. Proper diagnostic work-up, including assessing HLAA29 positivity, is needed to manage atypical cases. Keywords: birdshot chorioretinopathy, early adulthood, human leukocyte antigen (HLA)-A29
Background Birdshot chorioretinopathy (BSCR), also known as birdshot uveitis or vitiliginous chorioretinitis, is an uncommon type of uveitis first described in 1949 by Franceschetti and Babel. (1) The disease is [...]