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BILATERAL SEQUENTIAL INFLAMMATORY FULL-THICKNESS MACULAR HOLES IN BIRDSHOT CHORIORETINOPATHY
Abeku A Koomson1, Callum S Grewal, Meena Kapoor
1Wolverhampton and Midland Counties Eye Infirmary, The Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom .
Retinal Cases & Brief Reports
|March 25, 2025
Summary
Birdshot chorioretinopathy (BSCR) can lead to vision loss and macular holes. This case report details the first instance of sequential bilateral full-thickness macular holes (FTMH) in a BSCR patient, successfully treated surgically.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Uveitis
Background:
- Birdshot chorioretinopathy (BSCR) is a chronic posterior uveitis.
- BSCR can cause macular atrophy and vision loss.
Purpose of the Study:
- To describe a novel case of bilateral sequential full-thickness macular holes (FTMH) in a patient with BSCR.
- To highlight a previously unreported complication of BSCR.
Main Methods:
- Case report.
- Surgical repair of FTMH using vitrectomy, internal limiting membrane peeling (inverted flap technique), and gas injection.
Main Results:
- A patient with BSCR developed progressive bilateral macular atrophy and reduced visual acuity.
- The patient developed sequential FTMH in both eyes.
- Both FTMH were successfully treated with vitrectomy.
Conclusions:
- Chronic posterior uveitis in BSCR can lead to macular atrophy and FTMH.
- Bilateral sequential FTMH is a novel complication of BSCR.
- Surgical intervention can successfully treat FTMH in BSCR patients.
