Table 5:
Association of anti-retinal autoantibodies with 9 most common cancers in cancer-associated retinopathy (CAR)
Cancer | Incidence of cancer | Most frequent AAbs against retinal markers | Time from AAbs detection to cancer diagnosis | Major symptoms and findings |
---|---|---|---|---|
Breast | 22% (96/441) | Enolase, GAPDH, CAII, recoverin | Mostly after or at the time of diagnosis | Photopsia/photophobia, VA loss, ffERG dysfunction, pigmentary changes |
Gynecological (ovarian, endometrial, uterine, cervical) | 7% (33/441) | GAPDH, aldolase, enolase | Can precede, mostly after | Progressive course, blurry vision, photopsia, VA loss, VF defect, retinal thinning |
Lung (SCCL, NSCCL, adenocarcinoma) | 11% (47/441) | Enolase, p62, CAII | Can precede | Sudden onset, color vision loss, retinal thinning, vascular abnormalities |
Colon | 5% (21/441) | Aldolase, CAII, enolase, (arrestin, recoverin) | Can precede | Sudden onset, progressive course, blurry vision, central vision loss, color vision loss, cone-ffERG dysfunction, retinal thinning |
Prostate | 8% (35/441) | CAII, recoverin | Can precede | Progressive course, nyctalopia, VF defects, ERG dysfunction, attenuated vessels |
Thyroid | 4% (16/441) | Enolase, arrestin | At the time diagnosis or after | Photopsia/photophobia, peripheral vision loss, VA loss, rod-ffERG dysfunction, retinal thinning |
Melanoma | 18% (78/441) | Enolase, CAII, arrestin | After | Gradual loss, nyctalopia, VA loss, rod-ERG dysfunction |
Lymphomas | 4% (17/441) | Arrestin, Enolase, p62 | After | VA loss, VF loss |
Bladder | 3% (12/441) | CAII, Enolase, GADPH | At the time diagnosis or after | Progressive course, VA loss, ERG dysfunction; color vison loss |
VA = visual acuity, ERG = electroretinogram; VF = visual field