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Retinal Sublayer Analysis in Autoimmune Retinopathy and Identification of New Optical Coherence Tomography Phenotypes.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2024 Jul; Vol. 32 (5), pp. 727-734. Date of Electronic Publication: 2023 Apr 21. - Publication Year :
- 2024
-
Abstract
- Purpose: Autoimmune retinopathy (AIR) is a poorly characterized disease with a wide phenotypic spectrum, complicating investigations of its underlying pathophysiology. We sought to analyze optical coherence tomography (OCT) retinal thickness changes in AIR patients.<br />Methods: A retrospective chart review from 2007 to 2017 was performed evaluating AIR patients at a single academic, tertiary referral center. OCT retinal sublayer analysis was performed, and paradoxical thickening phenotypes were reviewed.<br />Results: Twenty-nine AIR patients with positive anti-retinal antibodies and OCT imaging were identified. Overall, AIR patients had thinner retinal sublayers compared to controls; however, 12 patients (41.4%) had paradoxical thickening of the outer plexiform layer (OPL). This revealed two distinct OCT phenotypes. No association was found between retinal sublayer thickness and specific antiretinal antibodies.<br />Conclusions: While the pathogenicity of antiretinal antibodies remains unclear, the OCT phenotypes observed underscore the potential for identifying clues in the underlying disease processes and clinical diagnosis.
- Subjects :
- Humans
Retrospective Studies
Female
Male
Middle Aged
Adult
Aged
Visual Acuity physiology
Tomography, Optical Coherence methods
Phenotype
Autoimmune Diseases diagnosis
Autoimmune Diseases immunology
Autoantibodies blood
Retina diagnostic imaging
Retina pathology
Retinal Diseases diagnosis
Retinal Diseases immunology
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 32
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 37084288
- Full Text :
- https://doi.org/10.1080/09273948.2023.2199334