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Case Reports and Small Case Series
October 1998

Potential Role of Computerized Visual Field Testing for the Appraisal and Follow-up of Birdshot Chorioretinopathy

Arch Ophthalmol. 1998;116(10):1389-1391. doi:

Birdshot chorioretinopathy (BC) is a chronic intraocular inflammatory disease of unknown etiology, characterized by multiple deep-retinal creamy lesions scattered throughout the fundus up to the equator. Other features include vitreitis, vasculitis, cystoid macular edema, and optic disc swelling.1 Evolution can be quite variable from case to case.1,2 Therapeutic intervention usually consists of the concurrent administration of 2 immunosuppressive drugs, in most cases cyclosporine and corticosteroids.1,2 Because of the severity and multiplicity of the side effects, the decision to treat depends on disease severity. The factors routinely used to evaluate disease severity are the clinical evaluation of inflammation, visual acuity, fluorescein angiography, and subjective visual disturbance. A factor that seems to have been neglected so far is visual field testing. The case reported herein indicates that computerized visual field testing seems to be an additional useful factor in the assessment of the severity of BC and in monitoring response to therapy.