Table 2.
Clinical Work-Up | CAR | CACD | PVM | MAR | BDUMP |
---|---|---|---|---|---|
BCVA | Severely decreased | Mildly to moderately decreased | Blurred vision, mildly decreased | Mildly to severely decreased | Moderately to severely decreased |
Visual field | Central or ring scotoma, peripheral scotomas | Central scotoma | Central/paracentral scotoma | Central/paracentral scotoma | Nonspecific |
OCT signs | Loss of outer retinal structures, including ellipsoid and interdigitation zone (central and peripheral) | Central loss of outer retinal structures, including ellipsoid and interdigitation zone with normal periphery | Vitelliform submacular deposits on the pigment epithelium that elevate the neurosensory retina | Macular atrophy with thinning of the inner retina | Diffuse thickening of the uveal tract with multiple elevated pigment and nonpigment uveal melanocytic tumors, possible atrophy of choroidal vasculature in Enhanced Depth Imaging (EDI) scans was observed |
FAF | Ring macular hyperautofluorescence with surrounding hypoautofluorescence | Nonspecific | Nonspecific | Nonspecific | Hypo-/hyperautofluorescence characteristic “giraffe-like” pattern lesions |
FFA | Normal/periphlebitis | Nonspecific | Blocking effect on the choroid with late-phase contrast uptake | Normal/vasculitis with vascular diffusion | Peripheral arterial nonperfusion area, nummular or dermal loss of retinal pigment epithelium, exudative retinal detachment in the late phases |
ICGA | Normal | Normal | Normal | Normal | Normal/atrophy of choroidal vasculature |
Full-field ERG | Rods and cones equally affected, firstly affecting the a-wave, progression to the “flat ERG” | Affected only cone response | Nonspecific, variable results | Scotopic—disappearance or microvoltage of b-wave, normal a-wave. Dysfunction of bipolar cells | Reduction of scotopic and photopic a- and b-wave amplitude |
mfERG | Severely abnormal | Partially abnormal | Nonspecific | Mildly abnormal | Mildly abnormal |
EOG | Normal Arden ratio | Normal Arden ratio | Variable Arden ratio | Reduced Arden ratio | Normal Arden ratio |
CAR—cancer-associated retinopathy; CACD—cancer-associated cone dysfunction; PVM—paraneoplastic vitelliform maculopathy; MAR—melanoma-associated retinopathy; BDUMP—bilateral diffuse uveal melanocytic proliferation; BCVA—best corrected visual acuity; OCT—optical coherence tomography; FAF—fundus autofluorescence; FFA—fundus fluorescein angiography; ICGA—indocyjanin green angiography; ERG—electoretinography; ffERG—full field electroretinography; mfERG—multifocal electroretinography; EOG—electrooculography.