Retinal anti-bipolar cell antibodies in a patient with paraneoplastic retinopathy and colon carcinoma

Daniel M. Jacobson, Grazyna Adamus

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35 Scopus citations

Abstract

PURPOSE: To describe clinical, electrophysiologic, and immunologic features of a unique paraneoplastic retinopathy with characteristics of cancer-associated and melanoma-associated retinopathy. METHODS: Serial assessment of clinical visual function, electroretinography, and assays of anti-retinal antibodies. RESULTS: A 51-year-old woman with progressive visual glare for 1 year had normal visual acuity and color vision, paracentral scotomas, and a normal-appearing retina. Electroretinography revealed no responses of the right eye and attenuated responses of the left eye, especially those recorded under scotopic conditions. Anti-bipolar antibodies were detected. Subsequent evaluation uncovered adenocarcinoma of the colon. Several months after resection of the tumor and chemotherapy, no evidence existed of cancer or anti-bipolar cell antibodies, and electroretinography responses were markedly improved. CONCLUSION: The presence of anti-bipolar cell antibodies in a patient with retinal dysfunction is not specific of melanoma-associated retinopathy. Effective treatment of cancer may result in elimination of associated anti-retinal antibodies and improved retinal function.

Original languageEnglish (US)
Pages (from-to)806-808
Number of pages3
JournalAmerican journal of ophthalmology
Volume131
Issue number6
DOIs
StatePublished - Jan 1 2001

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ASJC Scopus subject areas

  • Ophthalmology

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