Table 1.
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 |