Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma
Background. This case highlights the importance of recognising multiple pathologies within the eye which may not necessarily be linked. Both birdshot retinochoroiditis and astrocytoma are rare conditions. The case underlines the need for early identification and treatment of birdshot retinochoroidit...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/6586157 |
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| author | Sunil Mamtora Yun Wong Dugald Bell Teresa Sandinha |
| author_facet | Sunil Mamtora Yun Wong Dugald Bell Teresa Sandinha |
| author_sort | Sunil Mamtora |
| collection | DOAJ |
| description | Background. This case highlights the importance of recognising multiple pathologies within the eye which may not necessarily be linked. Both birdshot retinochoroiditis and astrocytoma are rare conditions. The case underlines the need for early identification and treatment of birdshot retinochoroiditis with steroids and disease modifying drugs. Astrocytoma in the absence of tuberous sclerosis is also uncommon. Case Presentation. A 36-year-old male presented with 3-month history of bilateral progressive flashing lights and floaters. He was systemically well with no significant past medical history. Fundal examination revealed retinal vasculitis and active creamy lesions in the choroid radiating from the optic nerve. In the supranasal periphery of the right eye there was a raised white, jagged lesion protruding into the vitreous. Fluorescein angiogram and indocyanine green showed marked venous vasculitis, hypofluorescence, and disc leakage in keeping with birdshot retinochoroiditis. The supranasal lesion features were in keeping with astrocytoma and this was thought to be a coincidental finding. Conclusions. Retinal astrocytoma may be present as an isolated ocular finding; however, patients must still be investigated for tuberous sclerosis which is the most common association. Birdshot retinochoroiditis typically responds well to steroid therapy, and disease modifying drugs should be considered as soon as possible. |
| format | Article |
| id | doaj-art-5196981089e24152a9d04d28e971d1b4 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-5196981089e24152a9d04d28e971d1b42025-02-03T01:26:08ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302017-01-01201710.1155/2017/65861576586157Bilateral Birdshot Retinochoroiditis and Retinal AstrocytomaSunil Mamtora0Yun Wong1Dugald Bell2Teresa Sandinha3Sunderland Eye Infirmary, Queen Alexandra Road, Sunderland SR2 9HP, UKSunderland Eye Infirmary, Queen Alexandra Road, Sunderland SR2 9HP, UKSunderland Eye Infirmary, Queen Alexandra Road, Sunderland SR2 9HP, UKSunderland Eye Infirmary, Queen Alexandra Road, Sunderland SR2 9HP, UKBackground. This case highlights the importance of recognising multiple pathologies within the eye which may not necessarily be linked. Both birdshot retinochoroiditis and astrocytoma are rare conditions. The case underlines the need for early identification and treatment of birdshot retinochoroiditis with steroids and disease modifying drugs. Astrocytoma in the absence of tuberous sclerosis is also uncommon. Case Presentation. A 36-year-old male presented with 3-month history of bilateral progressive flashing lights and floaters. He was systemically well with no significant past medical history. Fundal examination revealed retinal vasculitis and active creamy lesions in the choroid radiating from the optic nerve. In the supranasal periphery of the right eye there was a raised white, jagged lesion protruding into the vitreous. Fluorescein angiogram and indocyanine green showed marked venous vasculitis, hypofluorescence, and disc leakage in keeping with birdshot retinochoroiditis. The supranasal lesion features were in keeping with astrocytoma and this was thought to be a coincidental finding. Conclusions. Retinal astrocytoma may be present as an isolated ocular finding; however, patients must still be investigated for tuberous sclerosis which is the most common association. Birdshot retinochoroiditis typically responds well to steroid therapy, and disease modifying drugs should be considered as soon as possible.http://dx.doi.org/10.1155/2017/6586157 |
| spellingShingle | Sunil Mamtora Yun Wong Dugald Bell Teresa Sandinha Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma Case Reports in Ophthalmological Medicine |
| title | Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma |
| title_full | Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma |
| title_fullStr | Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma |
| title_full_unstemmed | Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma |
| title_short | Bilateral Birdshot Retinochoroiditis and Retinal Astrocytoma |
| title_sort | bilateral birdshot retinochoroiditis and retinal astrocytoma |
| url | http://dx.doi.org/10.1155/2017/6586157 |
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