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Autoimmune Retinopathy, Testing, and Its Controversies

  • Retina (R Goldhardt, Section Editor)
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Abstract

Purpose of Review

The purpose of this revision is to sumarize the most important clinical features of the autoimune retinopathies (AIRs).

Recent Findings

AIRs are a group of inflammatory conditions affecting the retina characterized by progressive unexplained visual loss, abnormalities and contraction in visual fields, photoreceptor and electroretinographic dysfunction, and the presence of circulating anti-retinal antibodies. The pathogenesis of AIR remains unclear and various antiretinal antibodies have been associated to the disease. The diagnosis of AIR is based on a particular clinical presentation along with the detection of serum antiretinal antibodies. Numerous anti-inflammatory therapeutic alternatives have been described for the treatment of AIR; nevertheless, there is no consensus on treatment protocol.

Summary

Because of its association with different types of malignant tumors, the early diagnosis, multi-disciplinary approach, and prompt treatment should be warranted.

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References

  1. Grange L, Dalal M, Nussenblatt RB, Sen HN. Autoimmune retinopathy. Am J Ophthalmol. 2014;157(2):266-72 e1.

    Article  CAS  Google Scholar 

  2. Canamary AM Jr, Takahashi WY, Sallum JMF. Autoimmune retinopathy: a review. Int J Retin Vitr. 2018;4:1.

    Article  Google Scholar 

  3. Rahimy E, Sarraf D. Paraneoplastic and non-paraneoplastic retinopathy and optic neuropathy: evaluation and management. Surv Ophthalmol. 2013;58(5):430–58.

    Article  Google Scholar 

  4. Heckenlively JR, Ferreyra HA. Autoimmune retinopathy: a review and summary. Semin Immunopathol. 2008;30(2):127–34.

    Article  Google Scholar 

  5. Grewal DS, Fishman GA, Jampol LM. Autoimmune retinopathy and antiretinal antibodies: a review. Retina. 2014;34(5):827–45.

    Article  CAS  Google Scholar 

  6. Adamus G, Champaigne R, Yang S. Occurrence of major anti-retinal autoantibodies associated with paraneoplastic autoimmune retinopathy. Clin Immunol. 2020;210:108317.

    Article  CAS  Google Scholar 

  7. Roels D, Ueno S, Talianu CD, Draganova D, Kondo M, Leroy BP. Unilateral cancer-associated retinopathy: diagnosis, serology and treatment. Doc Ophthalmol. 2017;135(3):233–40.

    Article  Google Scholar 

  8. Fox AR, Gordon LK, Heckenlively JR, Davis JL, Goldstein DA, Lowder CY, et al. Consensus on the diagnosis and management of nonparaneoplastic autoimmune retinopathy using a modified Delphi approach. Am J Ophthalmol. 2016;168:183–90.

    Article  Google Scholar 

  9. Adamus G. Autoantibody-induced apoptosis as a possible mechanism of autoimmune retinopathy. Autoimmun Rev. 2003;2(2):63–8.

    Article  CAS  Google Scholar 

  10. Lei B, Bush RA, Milam AH, Sieving PA. Human melanoma-associated retinopathy (MAR) antibodies alter the retinal ON-response of the monkey ERG in vivo. Invest Ophthalmol Vis Sci. 2000;41(1):262–6.

    CAS  PubMed  Google Scholar 

  11. Stanwyck LK, Moussa K, Chan W, Aitken PA, Sobrin L. Lack of correlation between number of antiretinal antibodies and clinical outcome measures in autoimmune retinopathy patients. Ophthalmol Retina. 2019;3(11):1007–9.

    Article  Google Scholar 

  12. Weleber RG, Watzke RC, Shults WT, Trzupek KM, Heckenlively JR, Egan RA, et al. Clinical and electrophysiologic characterization of paraneoplastic and autoimmune retinopathies associated with antienolase antibodies. Am J Ophthalmol. 2005;139(5):780–94.

    Article  CAS  Google Scholar 

  13. Sen HN, Grange L, Akanda M, Fox A. Autoimmune retinopathy: current concepts and practices (An American Ophthalmological Society Thesis). Trans Am Ophthalmol Soc. 2017;115:T8.

    PubMed  Google Scholar 

  14. Abazari A, Allam SS, Adamus G, Ghazi NG. Optical coherence tomography findings in autoimmune retinopathy. Am J Ophthalmol. 2012;153(4):750–6, 6 e1.

  15. Lima LH, Greenberg JP, Greenstein VC, Smith RT, Sallum JM, Thirkill C, et al. Hyperautofluorescent ring in autoimmune retinopathy. Retina. 2012;32(7):1385–94.

    Article  Google Scholar 

  16. Adamus G, Ren G, Weleber RG. Autoantibodies against retinal proteins in paraneoplastic and autoimmune retinopathy. BMC Ophthalmol. 2004;4:5.

    Article  Google Scholar 

  17. Faez S, Loewenstein J, Sobrin L. Concordance of antiretinal antibody testing results between laboratories in autoimmune retinopathy. JAMA Ophthalmol. 2013;131(1):113–5.

    Article  Google Scholar 

  18. Forooghian F. Consensus on the diagnosis and management of nonparaneoplastic autoimmune retinopathy using a modified Delphi approach. Am J Ophthalmol. 2016;170:241–2.

    Article  Google Scholar 

  19. Ferreyra HA, Jayasundera T, Khan NW, He S, Lu Y, Heckenlively JR. Management of autoimmune retinopathies with immunosuppression. Arch Ophthalmol. 2009;127(4):390–7.

    Article  CAS  Google Scholar 

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Correspondence to Luiz Roisman.

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Conflict of Interest

Luiz Roisman and Julia Dutra Rossetto each declare no potential conflicts of interest.

Raquel Goldhardt is a Section Editor for Current Ophthalmology Reports.

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This article is part of the Topical Collection on Retina

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Roisman, L., Rossetto, J.D. & Goldhardt, R. Autoimmune Retinopathy, Testing, and Its Controversies. Curr Ophthalmol Rep 9, 178–183 (2021). https://doi.org/10.1007/s40135-021-00276-y

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  • DOI: https://doi.org/10.1007/s40135-021-00276-y

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