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Related Concept Videos

Diabetic Retinopathy01:27

Diabetic Retinopathy

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DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
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Experimental Autoimmune Uveitis: An Intraocular Inflammatory Mouse Model
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Autoimmune retinopathy.

Landon Grange1, Monica Dalal1, Robert B Nussenblatt1

  • 1National Eye Institute, National Institutes of Health, Bethesda, MD.

American Journal of Ophthalmology
|December 10, 2013
PubMed
Summary
This summary is machine-generated.

Autoimmune retinopathy is a rare condition diagnosed by antiretinal antibodies and vision abnormalities. Treatment challenges persist due to nonstandardized criteria and variable responses, especially in nonparaneoplastic cases.

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Area of Science:

  • Ophthalmology
  • Immunology
  • Rheumatology

Background:

  • Autoimmune retinopathy (AIR) is a rare immunologic disorder.
  • Characterized by circulating antiretinal antibodies and visual dysfunction.
  • Ophthalmic examination findings can be minimal or normal.

Purpose of the Study:

  • Review current clinical guidelines for autoimmune retinopathy diagnosis and treatment.
  • Discuss challenges in diagnosis and work-up.
  • Preview potential future therapies.

Main Methods:

  • Literature review.
  • Clinical expertise interpretation.
  • Perspective-based analysis.

Main Results:

  • Diagnosis is complicated by limited and nonstandardized criteria.
  • Serum antiretinal antibodies and clinical manifestations are key diagnostic factors, but antibody presence alone is insufficient.
  • Treatment response is variable; paraneoplastic retinopathy shows better outcomes with combined chemotherapy and immunosuppression.

Conclusions:

  • Limited knowledge exists regarding the clinical course, prognosis, and treatment of autoimmune retinopathy.
  • Further research needed on antiretinal antibody specificity, pathogenicity, and biomarkers.
  • Concurrent studies for appropriate treatment identification are essential.