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Autoimmune retinopathy: A case report from India.

Sudha K Ganesh1, Arshee S Ahmed1

  • 1Department of Uveitis, Medical Research Foundation, Chennai, Tamil Nadu, India.

Oman Journal of Ophthalmology
|March 17, 2017
PubMed
Summary

This case report details the first instance of autoimmune retinopathy (AIR) in India. Early diagnosis and treatment of this vision-loss condition with immunosuppressants can potentially benefit patients.

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Area of Science:

  • Ophthalmology
  • Immunology
  • Retinal Diseases

Background:

  • Autoimmune retinopathy (AIR) is a rare autoimmune disorder affecting the retina.
  • Nonparaneoplastic AIR, not associated with cancer, presents diagnostic challenges.
  • Limited case reports exist, particularly from India, highlighting the need for awareness.

Observation:

  • A middle-aged female presented with subacute bilateral vision loss.
  • Ophthalmic examination revealed a near-normal fundus appearance.
  • Clinical presentation suggested a nonparaneoplastic autoimmune retinopathy.

Findings:

  • Diagnosis of nonparaneoplastic autoimmune retinopathy was presumed based on clinical findings and investigations.
  • The case highlights the occurrence of AIR in the Indian population.
Keywords:
Anti-retinal antibodiesautoimmune retinopathyelectroretinogramimmunosuppressionoptical coherence tomography

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  • Suggestive investigations supported the autoimmune etiology.

    • Implications:

    • This case underscores the importance of considering AIR in patients with unexplained vision loss.
    • Early detection and prompt management with corticosteroids or immunosuppressive agents may preserve vision.
    • Further research is warranted to understand AIR's prevalence and optimal treatment strategies in diverse populations.