Shah Anup, Branley Michael
North Shore Eye Centre, North Shore Private Hospital, Sydney, New South Wales, Australia.
Clin Exp Ophthalmol. 2005 Aug;33(4):442-4. doi: 10.1111/j.1442-9071.2005.01048.x.
Birdshot retinochoroidopathy is a bilateral, chronic posterior uveitis of likely autoimmune aetiology characterized by multiple depigmented choroidal lesions scattered throughout the post-equatorial retina. It has been managed with variable results using systemic immunosuppression. Herein, a case is described in which the patient, aware of the side-effects of systemic immunosuppression, refused this form of treatment and was successfully managed over a 3-year period with intravitreal triamcinolone. She developed the ocular complications of cataract and increased intraocular pressures, but maintained good vision while avoiding any systemic side-effects.
鸟枪弹样视网膜脉络膜病变是一种双侧性、慢性后葡萄膜炎，可能由自身免疫病因引起，其特征为多个色素脱失的脉络膜病变散在于赤道后视网膜。使用全身免疫抑制治疗的效果不一。在此描述一例，该患者知晓全身免疫抑制的副作用，拒绝这种治疗方式，在3年期间通过玻璃体内注射曲安奈德成功治疗。她出现了白内障和眼压升高的眼部并发症，但在避免任何全身副作用的同时保持了良好视力。
