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. 2015 Dec 20;4(2):171–176. doi: 10.1002/ccr3.463

Table 1.

Overview: Cancer types, autoantibodies detected, treatment and outcomes for CAR

Author Year Malignancy Symptoms Autoantibodies Therapy Course
Thirkill CE
1989 13
Small‐cell lung cancer Progressive loss of vision in both eyes
20/50 OD
20/100 OS
No AB reported Plasmapheresis No improvement
Ohnishi Y
1993 14
Small‐cell lung cancer Right eye with ring scotomas Recoverin Arrestin Prednisone Mild improved vision
Adamus G.
1998 15
Endometrial cancer Loss of color vision in OS and blurring vision in OD. Visual acuity was 20/70 OD and counting fingers OS Recoverin Methylprednisolone and immunomodulator drug Visual acuity stabilized at hand motions
Whitcup SM
1998 16
Benign Warthin tumor of the left parotid gland Progressive vision loss in both eyes Recoverin Systemic prednisone treatment Visual acuity diminished to no light perception
Yoon YH
1999 17
Ovarian cancer Sense of darkness in both eyes 20/25 OD 20/30 OS α‐enolase Prednisolone p.o. Visual acuity diminished to movement perception
Guy J
1999 18
Pat. 1 Adenocarcinoma of the lung
Pat. 2 Adenocarcinoma of the cervix
Pat. 3 Adenocarcinoma of the pancreas
Pat. 1 Rapid progressive visual loss
Pat. 2 Blindness
Pat. 3 Loss of vision in the right eye
Pat. 1 enolase
Pat. 2 recoverin
Pat. 3 enolase
Immunoglobulin i.v. Pat. 1 Marked visual field improvement, visual acuity maintained at 20/50 OD and 20/40 OS.
Pat. 2 No improvements Pat. 3 Improvements in visual field defects
Jacobsen D
2000 9
Adenocarcinoma of the sigmoid colon Progressive visual glare in both eyes No anti‐retinal antibodies No CAR‐specific therapy Improved retinal function
Raghunath A
2010 19
Neuroendocrine carcinoma of the fallopian tube Progressive worsening of vision in both eyes. Best visual acuity 20/25 OD, 20/60 OS Carbonic anhydrase II α‐enolase No CAR‐specific therapy Visual acuity in follow up 20/30 OD, 20/40 OS
Cybulska P
2011 20
Clear cell carcinoma of the endometrium Dimmed vision in both eyes with best corrected visual acuity 20/150 in both eyes No AB reported Five sessions plasmapheresis and intravenous immunoglobulin plus intravitreal triamcinolone acetonide injection OS Vision deteriorated to light perception only
Huynh N
2012 21
Poorly differentiated squamous cell carcinoma of the lung Decreased vision, photopsias and nyctalopia in both eyes α‐enolase Serial intravitreal injections of triamcinolone Vision preserved at 20/40 OD and 20/32 OS
Chao D
2013 10
Colon adenocarcinoma Progressive bilateral constriction of visual fields
20/60 OD
20/25 OS
α‐enolase
α‐transducin
No CAR‐specific therapy Visual acuity improved
20/30 OS
20/25 OS
Ogra S
2013 22
Carcinoid tumor of the small bowel Progressive blurring of vision and nyctalopia in both eyes Carbonic anhydrase II α‐enolase n/a Pat. died 1 month after diagnosis of CAR from small bowel obstruction
Michiyuki S
2014 23
Small‐cell lung carcinoma Progressive central vision loss OD and bilateral neuroretinits Recoverin α‐enolase CRMP‐5 Prednisolone oral Optic disk swelling disappeared
Turaka K
2014 24
Immature teratoma of the ovary Diminished vision in both eyes Arrestin Methylprednisolone i.v. along with i.v. immunoglobulins and rituximab, followed by systemic prednisolone and biweekly intravenous immunoglobulins and rituximab for 3 months Each eye with improvement in color vision
Nakamura T
2015 25
Large cell neuroendocrine carcinoma of the lung Rapid visual disorder in the dark, photophobia and impaired visual field.
Visual acuities for both eyes 20/20
No anti‐retinal antibodies No CAR‐specific therapy Visual function was stable
Javaid Z
2015 26
Cervical intraepithelial neoplasia Unilateral blurred vision, disturbance in color and night vision and central sparing with residual VF islands of OS No AB reported Periocular steroid injections Visual acuity remained stable