Abstract
Birdshot retinochoroidopathy is a bilateral, chronic posterior uveitis of likely autoimmune aetiology characterized by multiple depigmented choroidal lesions scattered throughout the post‐equatorial retina. It has been managed with variable results using systemic immunosuppression. Herein, a case is described in which the patient, aware of the side‐effects of systemic immunosuppression, refused this form of treatment and was successfully managed over a 3‐year period with intravitreal triamcinolone. She developed the ocular complications of cataract and increased intraocular pressures, but maintained good vision while avoiding any systemic side‐effects.