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. 2020 Nov 10;8(11):490. doi: 10.3390/biomedicines8110490

Table 2.

Summary of clinical work-up results in different paraneoplastic retinopathies based on the included articles.

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.