Coriorretinopaty in birdshot hurt in mexican patients: Clinical spectrum and therapeutic experience Coriorretinopatía en perdigonada (Birdshot) en pacientes mexicanos: Espectro clínico y experiencia terapéutica
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Introduction: Birdshot retinochoroidopathy is a rare autoimmune disease more frequently seen in European descendents. In our ethnic group, little is known about its prevalence and clinical spectrum. The following case series is intended to show the clinical manifestations, ocular complications and management of the disease in our population. Case series: We present herein a series of six patients with birdshot retinochoroidopathy that were seen at the Immunology and Uveitis Service of our institution at different stages of the clinical course of the disease. We describe the presentation, clinical manifestations, ocular complications, management outcome in every case. Discussion: Three men and three women with a mean age of 46-5 years, all of Mexican origin. All patients had typical chorioretinal lesions: round or oval yellow-cream colored, of peripapillary distribution in a "birdshot" pattern. All patients had a fundus vitiliginous appearance and moderate vitritis, and retinal vasculitis. In five patients tested for the HLA-A29 haplotype, the result was positive. Only two of six patients were seen in our clinic from the beginning of the disease, the rest had been treated previously as idiopathic uveitis elsewhere. These four patients had ocular complications that resulted in significant loss of vision because of delay diagnosis and inappropriate therapy. © 2012 Sociedad Mexicana de Oftalmología.