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Autoimmune retinopathy other diagnostic studies

Introduction

Overview

Overview

Other diagnostic studies that may play an important role in the diagnosis of autoimmune retinopathy include, fluorescein angiography (FA), optical coherence tomography (OCT), and fundus autofluorescence (FAF).

Fluorescein angiography shows leakage of retinal vasculature. Optical coherence tomography shows cystoid macular edema. On fundus autofluorescence, parafoveal hyperautofluorescent ring was seen, which showed a disruption of the inner-outer segment junction and thin outer nuclear and photoreceptor layers on spectral domain. Immunohistochemistry may also be used to localize the binding of anti-retinal antibodies to the cellular structures in the retinal tissue.  However, this is the least sensitive technique, and is unable to determine the type of autoimmune retinopathy. ELISA is more sensitive than immunohistochemistry, but it requires identification of the antigen of interest before testing.

Other Diagnostic Studies

Other Diagnostic Studies

Other ancillary tests may aid in the diagnosis of autoimmune retinopathy (AIR), which include, fluorescein angiography (FA), optical coherence tomography (OCT), and fundus autofluorescence (FAF).

Fluorescein angiography

On fluorescein angiography, leakage of retinal vasculature is seen.

Optical coherence tomography

On optical coherence tomography, cystoid macular edema is observed.

Fundus autofluorescence

On fundus autofluorescence, parafoveal hyperautofluorescent ring was seen, which showed a disruption of the inner-outer segment junction and thin outer nuclear and photoreceptor layers on spectral domain.

Immunohistochemistry

Immunohistochemistry may also be used to localize the binding of anti-retinal antibodies to the cellular structures in the retinal tissue.  However, this is the least sensitive technique, and is unable to determine the type of autoimmune retinopathy. [1]

ELISA

Unlike immunohistochemistry, ELISA is highly sensitive, but it requires identification of the antigen of interest before testing.

References

References

  1. ↑ Sen HN, Grange L, Akanda M, Fox A (2017). “Autoimmune Retinopathy: Current Concepts and Practices (An American Ophthalmological Society Thesis)”. Trans Am Ophthalmol Soc. 115: T8. PMC 5844289. PMID 29576753.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: M. Hassan, M.B.B.S