鸟枪弹样视网膜脉络膜病变 (BSR)是一种双眼弥漫性后葡萄膜炎 ,病因与发病机制不清。眼底特征性病变为散在多发性黄白色斑点状渗出性病灶 ,后期为脱色素性脉络膜视网膜瘢痕灶 ,犹如鸟枪弹一样 ;伴有轻度前葡萄膜炎、玻璃体炎、视网膜血管炎、黄斑囊样水肿和视盘水肿 ;并伴有视野改变和电生理改变。常因黄斑囊样水肿、黄斑瘢痕或脉络膜新生血管使视力严重受损。糖皮质激素和免疫抑制剂是常用治疗方法。 Shotgun retinal choroidopathy (BSR) is a diffuse bilateral posterior uveitis, etiology and pathogenesis is unclear. Ocular fundus lesions scattered interstitial multiple yellowish-white spot-like exudative lesions, late for the depigmented chorioretinal scar lesions, like a bullet-like; accompanied by mild anterior uveitis, vitritis, retinal vasculitis, macularocyst Edema and optic disc edema; accompanied by changes in visual field and electrophysiological changes. Often due to macular cystoid edema, macular scar or choroidal neovascularization serious damage to vision. Glucocorticoids and immunosuppressive agents are common treatments.