First Author: C.Taracena GUATEMALA
Co Author(s): C. Atencia S. Arascue C. Abdala
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Description of a clinical case of Birdshot Retinochoroidopathy
Case report of one single patient with Birdshot retinochoroidopathy and its uncommon evolution after a visit at the Unidad Laser del Atlantico Clinic in Barranquilla, Colombia. A thorough review of the patient’s clinical record and his paraclinicals was performed, associating them to the current literature
30-year-old male patient with a history of previous Lasik surgery 10 years ago in both eyes due to high astigmatism, whom consults for a second opinion due to inflammatory processes in both eyes for the 4 previous years, diagnosed with the Birdshot disease with a treatment that he no longer remembers. His visual acuity was 20/30 with improvement to 20/25 with pinhole on both eyes. The physical exam showed normal eyelids and lashes, clear conjunctiva, white sclera, clear cornea, anterior chamber formed, homogenous pigmented iris, normal size and aspect pupil in both eyes. Open angles, transparent crystalline with intraocular pressure of 11mmHg for OD and 13 mmHg for OS. During fundus evaluation with indirect ophthalmoscopy, multiple yellowish-white oval shaped lesions are observed with sharp borders located at the subretinal level in all the posterior pole and around the optic nerve and retina applied in 360 degrees. The patient is currently asymptomatic.
The common presentation of this disease is during the fourth and sixth decade of life with a retinopathy with creamy ovoid choroidal lesions with associated symptoms, which is why this case results to be interesting due to its atypical and unique clinical presentation regarding the symptomatology and age of the patient.