TABLE 1.
Criteria and Tests for the Diagnosis of Autoimmune Retinopathy (AIR)
| Diagnostic Criteria for AIRa | |
| Essential Diagnostic Criteria | Supportive Diagnostic Criteria |
| No apparent cause responsible for visual function abnormalityb |
Symptoms: Photopsias or scotomas or dychromatopsia or nyctalopia or photoaversion |
| ERG abnormality (with or without visual field abnormality) |
Systemic autoimmune disease: Personal or Family History |
| Presence of serum antiretinal antibodies | Rapidity of onset of vision changee |
| Absence of fundus lesions and retinal degeneration or dystrophy that may explain visual function lossc |
|
| Absence of overt intraocular inflammationd | |
| Core Diagnostic Testsf | |
| Malignancy workup by appropriate physician | Fundus Autofluorescence (FAF) |
| Electroretinogram (ERG) | Optical Coherence Tomography (OCT) |
| Serum antiretinal antibody testing | Fluorescein Angiogram (FA) |
. All Essential Diagnostic Criteria must be present and Supportive Diagnostic Criteria are not necessary to make the diagnosis of AIR
. Including no evidence of malignancy
. Absence of chorioretinal lesions (other than incidental/small peripheral benign degenerations such as pavingstone, lattice, etc., or old toxoplasmosis scar) or absence of retinal dystrophy, retinitis pigmentosa, or other hereditary retina vitreal disorders
. Less than 1+ intraocular cells or haze present
. Acute (0–3 months) or Subacute (3–6 months)
. Essential to the diagnosis of AIR and should be performed at the initial or first diagnostic evaluation when AIR is suspected