Birdshot Chorioretinopathy: A Review of Diagnosis and Treatment

Background: Birdshot chorioretinopathy is a rare, bilateral chronic uveitis resulting in choroidal and retinal inflammation in the form of vasculitis, papillitis, and/or macular edema. For an accurate diagnosis, a thorough patient history, fundoscopic exam, and appropriate ancillary testing are necessary. Case Report: A 49-year-old male presented to the eye clinic due to vitreous floaters in both eyes that had worsened over the last year. The patient was new to the clinic with no prior history of eye examinations. At presentation, a mild vitritis was noted along with small, multiple white dots in the posterior pole of both eyes. Ancillary testing, including bloodwork and OCT imaging helped confirm the diagnosis of birdshot chorioretinopathy. The patient was referred to a retinal specialist for further evaluation and treatment. Conclusion: Birdshot chorioretinopathy is a rare clinical finding. The clinical examination in addition to ancillary testing, including laboratory testing can help confirm the diagnosis. An accurate diagnosis can facilitate appropriate treatment as this disease can lead to vision loss.