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Choroidal Lesions Preceding Symptom Onset in Birdshot Chorioretinopathy
Lyndell Lim, MBBS, FRANZCO;
Alex Harper, MBBS, FRANZCO;
Robyn Guymer, MBBS, PhD, FRANZCO
Arch Ophthalmol. 2006;124:1057-1058.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Birdshot chorioretinopathy was first characterized by Ryan and Maumenee1 as a chronic intraocular inflammatory condition with discrete, depigmented spots scattered throughout the fundus; mild vitritis; and vasculitis. A very strong association of this condition with the HLA-A29 gene and electrophysiologic abnormalities have since been described.2-3
In most cases, the patient's initial symptoms are blurred vision, floaters, and/or photopsia and ocular signs consistent with birdshot chorioretinopathy.1, 4-5 A few reports have described the appearance of the classic fundal spots long after the onset of symptoms, inflammation, and vasculitis, but these seem to be in the minority.6 We are unaware of any report of the appearance of the classic fundal lesions of birdshot chorioretinopathy prior to the onset of symptoms. Herein we describe such a case.
Report of a Case
A 35-year-old white man was first seen with a 3-week history of bilateral floaters. . . . [Full Text of this Article] Comment
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