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59-year-old man has birdshot chorioretinopathy in both eyes. He had retinal detachment repair in the right eye in August of 2005, and subsequent laser in that eye in November of 2005. His vision is a little hazy in the right eye. VISUAL ACUITY: Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser. OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery. IMPRESSION: 1. BIRDSHOT CHORIORETINOPATHY – BOTH EYES 2. HISTORY OF RETINAL DETACHMENT REPAIR – RIGHT EYE Photos confirm clinical findings. DISCUSSION: I explained to the patient that although the eyes look classic for birdshot chorioretinopathy, because there are other things that can cause a similar picture, I suggested we obtain an HLA-A29, which is positive in patients with this disease almost all the time. I ordered the blood test.

birdshot_libr.png
Birdshot Chorioretinitis Mild - Asymptomatic298 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
birdshot_libr_28129.png
Birdshot Chorioretinitis Mild - Asymptomatic339 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
birdshot_libr_28229.png
Birdshot Chorioretinitis Mild - Asymptomatic381 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
birdshot_libr_28329.png
Birdshot Chorioretinitis Mild - Asymptomatic327 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
birdshot_libr_28429.png
Birdshot Chorioretinitis Mild - Asymptomatic206 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
birdshot_libr_28529.png
Birdshot Chorioretinitis Mild - Asymptomatic276 views59-year-old man has birdshot chorioretinopathy in both eyes. Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser.
OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery
00000
(0 votes)
   
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59-year-old man has birdshot chorioretinopathy in both eyes. He had retinal detachment repair in the right eye in August of 2005, and subsequent laser in that eye in November of 2005. His vision is a little hazy in the right eye. VISUAL ACUITY: Vision OD 20/25, OS 20/20. IOP: OD 16, OS 14. The right eye has a posterior chamber intraocular lens in good position. There is 1+ posterior capsular opacity. The left eye has 2+ nuclear sclerosis. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ration is 0.8. There is patchy depigmented lesion in the nasal periphery. The retina is attached with peripheral laser. OS: Vertical C/D ratio is 0.4. There are peripheral punched out lesions in the periphery. IMPRESSION: 1. BIRDSHOT CHORIORETINOPATHY – BOTH EYES 2. HISTORY OF RETINAL DETACHMENT REPAIR – RIGHT EYE Photos confirm clinical findings. DISCUSSION: I explained to the patient that although the eyes look classic for birdshot chorioretinopathy, because there are other things that can cause a similar picture, I suggested we obtain an HLA-A29, which is positive in patients with this disease almost all the time. I ordered the blood test.