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Autoimmune retinopathy physical examination

Introduction

Overview

Overview

Autoimmune retinopathy is bilateral and may be asymmetric. Funduscopic changes include, retinal vasculature attenuation, diffuse retinal atrophy, mottling of the retinal pigment epithelium and optic disc pallor. There may also be constriction of the visual field with central or paracentral scotomas.

Physical Examination

Physical Examination

Autoimmune retinopathy is bilateral and may be asymmetric.

Initially there is little to no intraocular inflammation and the funduscopic examination is unremarkable.  With time, several funduscopic changes may be observed.  

These changes include, retinal vasculature attenuation, diffuse retinal atrophy, mottling of the retinal pigment epithelium and optic disc pallor. [1]

Visual field testing shows constriction and central or paracentral scotomas. [2]

References

References

  1. ↑ Canamary AM, Takahashi WY, Sallum JMF (2018). “Autoimmune retinopathy: A Review”. Int J Retina Vitreous. 4: 1. doi:10.1186/s40942-017-0104-9. PMC 5759752. PMID 29340169.
  2. ↑ Dutta Majumder P, Marchese A, Pichi F, Garg I, Agarwal A (2020). “An update on autoimmune retinopathy”. Indian J Ophthalmol. 68 (9): 1829–1837. doi:10.4103/ijo.IJO_786_20. PMC 7690499 Check |pmc= value (help). PMID 32823399 Check |pmid= value (help).

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