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American Journal of Ophthalmology 2002-Oct

Antirecoverin antibody in the aqueous humor of a patient with cancer-associated retinopathy.

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Hiroshi Ohguro
Ikuyo Maruyama
Mitsuru Nakazawa
Akihiko Oohira

Keywords

Abstract

OBJECTIVE

To describe a patient with cancer-associated retinopathy (CAR) in whom antirecoverin antibody was found in the aqueous humor.

METHODS

Interventional case report.

METHODS

A 65-year-old man underwent resection of adenocarcinoma of the lung in June 1991 and noted deterioration of vision 10 months later. Goldmann perimetry revealed a ring-like scotoma in each eye, and the electroretinogram was nonrecordable. Aqueous humor and peripheral venous blood were collected for Western blot analysis from this patient and three other patients during surgery for age-related cataract.

RESULTS

We found antirecoverin antibody within the aqueous humor and serum in the patient with CAR. In contrast, such imunoreactivities were not observed in specimens from the control patients.

CONCLUSIONS

These observations strongly suggest that antirecoverin antibody penetrates into the aqueous humor and vitreous cavity beyond the blood-retina barrier in CAR.

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