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Birdshot Retinochoroidopathy

Birdshot Retinochoroidopathy Abstract • Nine patients had birdshot retinochoroidopathy. Associated ophthalmologic findings included rhegmatogenous retinal detachment, rubeosis iridis, glaucoma, and a high incidence of disciform macular degeneration. Four patterns of birdshot spot distribution were noted on fundus examination. Immunologic studies showed a significantly elevated percentage of EA rosettes and an elevated C4 complement level. Electroretinograms showed b-wave amplitude reduction, with a disproportionate implicit time prolongation. The etiology of this syndrome remains unknown. References 1. Ryan SJ, Maumenee AE: Birdshot retinochoroidopathy . Am J Ophthalmol 1980;89:31-45. 2. Kaplan HJ, Aaberg TM: Birdshot retinochoroidopathy . Am J Ophthalmol 1980;90:773-782. 3. Nussenblatt RB, Mittal KK, Ryan S: Birdshot retinochoroidopathy associated with HLA-A29 antigen and immune responsiveness to retinal S-antigen . Am J Ophthalmol 1982;94:147-158. 4. Gass JDM: Vitiliginous chorioretinitis . Arch Ophthalmol 1981;99:1778-1787.Crossref 5. Laurell CB, Eriksson S: The electrophoretic α1-globulin pattern of serum in α1-antitrypsin deficiency . Scand J Clin Lab Invest 1963;15:132-140.Crossref 6. Nilsson LA: Comparative testing of precipitation methods for quantitation of C-reactive protein in blood serum . Acta Pathol Microbiol Immunol Scand 1968;73:129-144.Crossref 7. Williams RC: Immunopathology of rheumatoid arthritis . Hosp Pract 1978;13:53-60. 8. Mancini G, Carbonara AO, Heremans JF: Immunochemical quantitation of antigens by single radial immunodiffusion . Immunochemistry 1965;2:235-254.Crossref 9. Boyum A: Isolation of mononuclear cells and granulocytes from human blood . Scand J Clin Lab Invest 1968;21( (suppl 97) ):77-89.Crossref 10. Wybran J, Fudenberg HH: Thymusderived rosette-forming cells in various human disease states: Cancer, lymphoma, bacterial and viral infections, and other diseases . J Clin Invest 1973;52:1026-1032.Crossref 11. Jondal M, Holm G, Wigzell H: Surface markers on human T and B lymphocytes: I. A large population of lymphocytes forming nonimmune rosettes with sheep red blood cells . J Exp Med 1972;136:207-215.Crossref 12. Hallberg T, Gurner BW, Coombs RRA: Opsonic adherence of sensitized ox red cells to human lymphocytes as measured by rosette formation . Int Arch Allergy Appl Immunol 1973; 44:500-513.Crossref 13. Chao W, Yokoyama MM: Determination of B-lymphocyte population using antibody-coated polyacrylamide beads . Clin Chim Acta 1977; 78:79-84.Crossref 14. Penhale WJ, Farmer A, Maccuish AC, et al: A rapid micro-method for the phytohaemagglutinin-induced human lymphocyte transformation test . Clin Exp Immunol 1974;18:155-167. 15. Nakamura RM: Diagnostic laboratory tests for systemic lupus erythematosus and related disorders . Lab Med 1975;6:11-16, 53. 16. Hawkes RA: General principles underlying laboratory diagnosis of viral infections , in Lennette EH, Schmidt NJ (eds): Diagnostic Procedures for Viral, Rickettsial and Chlamydial Infections , ed 5. New York, American Public Health Association, 1979, pp 3-48. 17. Henle G, Henle W: Immunofluorescence in cells derived from Burkitt's lymphoma . J Bacteriol 1966;91:1248-1256. 18. Mittal KK: The HLA polymorphism and susceptibility to disease . Vox Sang 1976;31:161-173.Crossref 19. Fishman GA, Fishman M, Maggiano J: Macular lesions associated with retinitis pigmentosa . Arch Ophthalmol 1977;95:798-803.Crossref 20. Sondheimer S, Fishman GA, Young RS, et al: Dark adaptation testing in heterozygotes of Usher's syndrome . Br J Ophthalmol 1979;63:547-550.Crossref 21. Snyder DA, Tessler HH, Yokoyama MM: Immunologic studies on Vogt-Koyanagi-Harada syndrome and pars planitis , in Silverstein AM, O'Connor GR (eds): Immunology and Immunopathology of the Eye . New York, Masson Publishing USA, 1978, pp 68-74. 22. Moretta L, Ferrarini M, Mingeri MC, et al: Subpopulations of human T-cell identified by receptors for immunoglobulins and mitogen responsiveness . J Immunol 1976;117:2171-2174. 23. Moretta L, Webb S, Gross CE, et al: Functional analysis of two human T-cell subpopulations: Help and suppression of B-cell responses by T-cell bearing receptors for IgM or IgG . J Exp Med 1977;146:184-200.Crossref 24. Nussenblatt RB, Gery I, Ballintine EJ, et al: Cellular immune responsiveness of uveitis patients to retinal S-antigen . Am J Ophthalmol 1980;89:173-179. 25. Wacker WB: Autoimmune uveitis (choroiditis) in the guinea pig sensitized with homologous uvea and its differentiation from that following sensitization with homologous retina . Int Arch Allergy Appl Immunol 1972;43:39-52.Crossref 26. Sandberg MA, Berson EL, Effron MH: Rod-cone interaction in the distal human retina . Science 1981;212:829-831.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030164018
Publisher site
See Article on Publisher Site

Abstract

Abstract • Nine patients had birdshot retinochoroidopathy. Associated ophthalmologic findings included rhegmatogenous retinal detachment, rubeosis iridis, glaucoma, and a high incidence of disciform macular degeneration. Four patterns of birdshot spot distribution were noted on fundus examination. Immunologic studies showed a significantly elevated percentage of EA rosettes and an elevated C4 complement level. Electroretinograms showed b-wave amplitude reduction, with a disproportionate implicit time prolongation. The etiology of this syndrome remains unknown. References 1. Ryan SJ, Maumenee AE: Birdshot retinochoroidopathy . Am J Ophthalmol 1980;89:31-45. 2. Kaplan HJ, Aaberg TM: Birdshot retinochoroidopathy . Am J Ophthalmol 1980;90:773-782. 3. Nussenblatt RB, Mittal KK, Ryan S: Birdshot retinochoroidopathy associated with HLA-A29 antigen and immune responsiveness to retinal S-antigen . Am J Ophthalmol 1982;94:147-158. 4. Gass JDM: Vitiliginous chorioretinitis . Arch Ophthalmol 1981;99:1778-1787.Crossref 5. Laurell CB, Eriksson S: The electrophoretic α1-globulin pattern of serum in α1-antitrypsin deficiency . Scand J Clin Lab Invest 1963;15:132-140.Crossref 6. Nilsson LA: Comparative testing of precipitation methods for quantitation of C-reactive protein in blood serum . Acta Pathol Microbiol Immunol Scand 1968;73:129-144.Crossref 7. Williams RC: Immunopathology of rheumatoid arthritis . Hosp Pract 1978;13:53-60. 8. Mancini G, Carbonara AO, Heremans JF: Immunochemical quantitation of antigens by single radial immunodiffusion . Immunochemistry 1965;2:235-254.Crossref 9. Boyum A: Isolation of mononuclear cells and granulocytes from human blood . Scand J Clin Lab Invest 1968;21( (suppl 97) ):77-89.Crossref 10. Wybran J, Fudenberg HH: Thymusderived rosette-forming cells in various human disease states: Cancer, lymphoma, bacterial and viral infections, and other diseases . J Clin Invest 1973;52:1026-1032.Crossref 11. Jondal M, Holm G, Wigzell H: Surface markers on human T and B lymphocytes: I. A large population of lymphocytes forming nonimmune rosettes with sheep red blood cells . J Exp Med 1972;136:207-215.Crossref 12. Hallberg T, Gurner BW, Coombs RRA: Opsonic adherence of sensitized ox red cells to human lymphocytes as measured by rosette formation . Int Arch Allergy Appl Immunol 1973; 44:500-513.Crossref 13. Chao W, Yokoyama MM: Determination of B-lymphocyte population using antibody-coated polyacrylamide beads . Clin Chim Acta 1977; 78:79-84.Crossref 14. Penhale WJ, Farmer A, Maccuish AC, et al: A rapid micro-method for the phytohaemagglutinin-induced human lymphocyte transformation test . Clin Exp Immunol 1974;18:155-167. 15. Nakamura RM: Diagnostic laboratory tests for systemic lupus erythematosus and related disorders . Lab Med 1975;6:11-16, 53. 16. Hawkes RA: General principles underlying laboratory diagnosis of viral infections , in Lennette EH, Schmidt NJ (eds): Diagnostic Procedures for Viral, Rickettsial and Chlamydial Infections , ed 5. New York, American Public Health Association, 1979, pp 3-48. 17. Henle G, Henle W: Immunofluorescence in cells derived from Burkitt's lymphoma . J Bacteriol 1966;91:1248-1256. 18. Mittal KK: The HLA polymorphism and susceptibility to disease . Vox Sang 1976;31:161-173.Crossref 19. Fishman GA, Fishman M, Maggiano J: Macular lesions associated with retinitis pigmentosa . Arch Ophthalmol 1977;95:798-803.Crossref 20. Sondheimer S, Fishman GA, Young RS, et al: Dark adaptation testing in heterozygotes of Usher's syndrome . Br J Ophthalmol 1979;63:547-550.Crossref 21. Snyder DA, Tessler HH, Yokoyama MM: Immunologic studies on Vogt-Koyanagi-Harada syndrome and pars planitis , in Silverstein AM, O'Connor GR (eds): Immunology and Immunopathology of the Eye . New York, Masson Publishing USA, 1978, pp 68-74. 22. Moretta L, Ferrarini M, Mingeri MC, et al: Subpopulations of human T-cell identified by receptors for immunoglobulins and mitogen responsiveness . J Immunol 1976;117:2171-2174. 23. Moretta L, Webb S, Gross CE, et al: Functional analysis of two human T-cell subpopulations: Help and suppression of B-cell responses by T-cell bearing receptors for IgM or IgG . J Exp Med 1977;146:184-200.Crossref 24. Nussenblatt RB, Gery I, Ballintine EJ, et al: Cellular immune responsiveness of uveitis patients to retinal S-antigen . Am J Ophthalmol 1980;89:173-179. 25. Wacker WB: Autoimmune uveitis (choroiditis) in the guinea pig sensitized with homologous uvea and its differentiation from that following sensitization with homologous retina . Int Arch Allergy Appl Immunol 1972;43:39-52.Crossref 26. Sandberg MA, Berson EL, Effron MH: Rod-cone interaction in the distal human retina . Science 1981;212:829-831.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1984

References