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Electroretinogram and visual field changes in a case of birdshot chorioretinopathy.
Elbaz, Hisham; Besgen, Volker; Rechberger, Klara; Sekundo, Walter; Apfelstedt-Sylla, Eckart.
Afiliação
  • Elbaz H; Ophthalmology Department, Klinikum Barnim, Werner Forßmann Krankenhaus, Eberswalde, Germany. hisham_elbaz@yahoo.com.
  • Besgen V; Ophthalmology Department, Philipp University of Marburg, Marburg, Germany. hisham_elbaz@yahoo.com.
  • Rechberger K; Ophthalmology Department, Philipp University of Marburg, Marburg, Germany.
  • Sekundo W; Ophthalmology Department, Philipp University of Marburg, Marburg, Germany.
  • Apfelstedt-Sylla E; Ophthalmology Department, Philipp University of Marburg, Marburg, Germany.
Doc Ophthalmol ; 134(2): 149-153, 2017 04.
Article em En | MEDLINE | ID: mdl-28281104
PURPOSE: This case report explores the role of the visual field perimetry and electroretinogram (ERG) in cases of non-infectious uveitis in the assessment and monitoring of retinal function and response to treatment. METHODS: A 59-year-old Caucasian female presenting with bilateral posterior uveitis newly diagnosed as birdshot chorioretinopathy (BSCR) presenting with bilateral decrease in visual acuity and cystoid macular edema, as well as a paracentral scotoma in the right eye. The diagnosis and follow-up of the case was done using visual field perimetry, optical coherence tomography (OCT), and ERG. RESULTS: Baseline ERG showed a marked decrease in the amplitudes of the scotopic and photopic responses and a delay of peak times mainly in the right eye. Mycophenolate mofetil at 2 g/day and oral prednisolone at 1 g/kg/day were administered with gradual tapering of the corticosteroids. After 5 months, there was a noticeable improvement in the visual acuity, macular edema in OCT, and an obvious increase in the amplitudes of the ERG associated with a decrease in peak times, particularly in the 30 Hz photopic 3.0 Flicker of the right eye. CONCLUSION: This case report highlights the importance of the peak time and wave amplitudes of the 30 Hz photopic DA 3.0 Flicker as being a sensitive parameter in the diagnosis and follow-up of BSCR.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Campos Visuais / Coriorretinite Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Doc Ophthalmol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Alemanha

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Campos Visuais / Coriorretinite Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Doc Ophthalmol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Alemanha