ABSTRACT
BACKGROUND: To report the long term follow-up of a case of Birdshot Chorioretinopathy treated with steroids and cyclosporine during three years and followed for twenty years. METHODS: The patient was monitored with Snellen visual acuity, slit lamp examination, perimetry, colour vision test, fluorescein angiography, electroretinogram (ERG) and electrooculogram (EOG). RESULTS: The retinal alterations progressed despite minimization of the intraocular inflammation. Vision dropped, perimetric and severe colour vision alterations appeared and the patient complained of nyctalopia. CONCLUSIONS: The retinal findings in our case treated during three years resemble twenty years later tapetoretinal dystrophy and evoke the natural evolution of Birdshot Chorioretinopathy. The therapeutic approach was either inadequate due to early interruption or to inefficacy on the mechanisms of the retinal alterations.
