The successful use of mycophenolate mofetil in a patient with active birdshot chorio-retinopathy refractory to azathioprine therapy: case report

Vianna, Raul N. G.; Al-Kharusi, Nadia; Deschênes, Jean

doi:10.1590/s0004-27492004000600022

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Birdshot Chorioretinopathy1

Multiple Evanescent White Dot Syndrome (Mewds)1

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2007

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“…In this study, the control of ocular inflammation with MMF as monotherapy was achieved in 35 (65%) patients, and a steroid-sparing effect was achieved in 29 (54%) patients. Additionally, Vianna et al, reported that MMF was effective in a BC patient refractory to AZA (45) . Other treatment options are subtenon and/or intravitreal triamcinolone for refractory cystoid macular edema (CME) (41) .…”

Section: Birdshot Chorioretinopathymentioning

confidence: 99%

“…Ocular findings include a variable amount of vitritis, macular and/or optic disc edema, and, characteristically, several yellow-white dots at the level of the deep retina or RPE in the posterior pole ( Figure 5). Besides the typical retinal lesions, a characteristic granular appearance of the fovea is present acutely, and the fovea usually does not return to a normal appearance (45) .…”

Section: Multiple Evanescent White Dot Syndrome (Mewds)mentioning

confidence: 99%

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The white dot syndromes

Vianna

Socci

Nehemy

et al. 2007

Arq. Bras. Oftalmol.

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Several entities must be considered when a patient presents with a white dot syndrome. In most cases these can be distinguished from one another based on the appearance or distribution of the lesions, the clinical course, or patient variables such as age, sex, laterality, and functional and image examinations. In this paper we review the distinctive and shared features of the white dot syndromes, highlighting the clinical findings, diagnostic test results, proposed etiologies, treatment, and prognosis.

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Section: Birdshot Chorioretinopathymentioning

confidence: 99%

Section: Multiple Evanescent White Dot Syndrome (Mewds)mentioning

confidence: 99%