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Bilateral birdshot retinochoroidopathy in absence of overt clinical lesions
  1. M GUPTA,
  2. P PURI,
  1. Department of Ophthalmology, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK
  1. Mr Mohit Gupta

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Editor,—A case of bilateral birdshot chorioretinopathy diagnosed on the basis of indocyanine angiography in the absence of any overt clinical lesions is presented.


A 47 year old woman presented to the eye clinic with a history of photopsia in both eyes left more than right for the past 2 months. She also complained of a scotoma in the temporal field of her left eye. There was no significant ocular history. She had always been a migraine sufferer. She also gave a history of left hemiparesis with complete resolution. She had been investigated for multiple sclerosis and carotid artery disease at that time but all the results were reported to be normal.

On examination her best corrected visual acuity was 6/4 in the right and 6/5 in the left eye. Anterior chamber showed occasional cells in both eyes. The pupillary reactions were normal. Fundus evaluation did not show any signs …

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