Fich M, Rosenberg T
National Eye Clinic for the Visually Impaired, Copenhagen, Denmark.
Acta Ophthalmol (Copenh). 1992 Oct;70(5):693-7. doi: 10.1111/j.1755-3768.1992.tb02155.x.
Birdshot retinochoroidopathy is a rare ocular disorder which was named and delineated as a separate clinical entity by Ryan & Maumenee in 1980. We diagnosed birdshot retinochoroidopathy in a monozygotic pair of twins, who were affected with a time interval of 12 years, respectively. These are the first with birdshot retinochoroidopathy to be reported from the Nordic countries and the first report on this disorder in monozygotic twins. Due to night-blindness, visual field defects and a severely affected electroretinogram one of our cases initially was diagnosed as a choroidoretinal dystrophy. Birdshot retinochoroidopathy should be kept in mind as a differential diagnosis in retinitis pigmentosa-like disorders with widespread choroidal involvement. Our cases substantiated the evidence of a strong correlation with the presence of HLA-A29 antigen.
鸟枪弹样视网膜脉络膜病变是一种罕见的眼部疾病，1980年由瑞安和莫梅尼将其命名并界定为一个独立的临床实体。我们诊断出一对同卵双胞胎患有鸟枪弹样视网膜脉络膜病变，两人发病时间间隔为12年。这是北欧国家首次报告的鸟枪弹样视网膜脉络膜病变病例，也是关于同卵双胞胎患此病的首例报告。由于夜盲、视野缺损以及严重的视网膜电图异常，我们的其中一例患者最初被诊断为脉络膜视网膜营养不良。在伴有广泛脉络膜受累的色素性视网膜炎样疾病中，应将鸟枪弹样视网膜脉络膜病变作为鉴别诊断予以考虑。我们的病例证实了与HLA - A29抗原存在密切相关性的证据。
