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Structural and Functional Changes in Non-Paraneoplastic Autoimmune Retinopathy.

Amir Akhavanrezayat1, Anadi Khatri1,2,3, Neil Gregory L Onghanseng1,4

  • 1Spencer Center for Vision Research, Byers Eye Institute, Stanford University School of Medicine, 2370 Watson Court, Palo Alto, CA 94303, USA.

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|November 14, 2023
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Multimodal imaging effectively detects longitudinal changes in non-paraneoplastic autoimmune retinopathy (npAIR). Adaptive optics scanning laser ophthalmoscopy (AOSLO) shows promise for monitoring retinal microstructure in npAIR patients.

Keywords:
AIRAOSLOGVFGoldmann visual fieldadaptive opticsfunctional changesmicroperimetrynon-paraneoplastic autoimmune retinopathyretina imagingstructural changes

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Autoimmune Disorders

Background:

  • Non-paraneoplastic autoimmune retinopathy (npAIR) is a rare condition affecting vision.
  • Understanding the longitudinal progression of npAIR is crucial for patient management.

Purpose of the Study:

  • To describe longitudinal changes in patients with npAIR.
  • To evaluate the utility of various diagnostic modalities in monitoring npAIR progression.

Main Methods:

  • Retrospective longitudinal review of 16 eyes from 8 npAIR patients.
  • Utilized multimodal imaging: WAFP, WAFAF, SD-OCT, GVF, MP, electrophysiology, and AOSLO.

Main Results:

  • All patients showed anomalies at baseline across multiple tests.
  • AOSLO demonstrated superior ability to detect microstructural deterioration over time.
  • Functional deterioration was noted in GVF, MP, and mf-ERG during follow-up.

Conclusions:

  • Multimodal imaging aids in diagnosing and monitoring npAIR.
  • Assessing both anatomical and functional changes aids early detection.
  • AOSLO offers high-resolution imaging for quantifiable retinal microstructure changes in npAIR.