Evidence map›Paper›PMID 20008709›Full record

ArticleArchives of ophthalmology (Chicago, Ill. : 1960)2009

Melanoma-associated retinopathy: a paraneoplastic autoimmune complication.

Ying Lu, Lin Jia, Shirley He, Mary C Hurley, Monique J Leys, Thiran Jayasundera, John R Heckenlively

Abstract read
In one paragraph

Article in Archives of ophthalmology (Chicago, Ill. : 1960), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Paraneoplastic syndromes and the retina.Current opinion in ophthalmology · 2026
    Review
  4. American journal of ophthalmology case reports · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. A case of melanoma-associated retinopathy with autoantibodies against TRPM1.Documenta ophthalmologica. Advances in ophthalmology · 2020
    Article
  14. Retinal Diseases that Can Masquerade as Neurological Causes of Vision Loss.Current neurology and neuroscience reports · 2020
    Review
  15. Article
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  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ying LuDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI 48105, USA.
Lin Jia
Shirley He
Mary C Hurley
Monique J Leys
Thiran Jayasundera
John R Heckenlively

Funding

Mouse Models of Human Hereditary Eye DiseasesR01EY007758 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HECKENLIVELY, JOHN R · 1988 to 2007
$3.4M
NEI NIH HHS R01 EY007758
6 · The paper itself

Abstract

objectivesTo study 11 patients with melanoma-associated retinopathy (MAR) to clarify the reliability of various methods of diagnostic testing, to determine the underlying antigenic retinal proteins, and to study the clinical histories and types of associated melanomas.

methodsClinical data were obtained from patients with melanoma who developed marked visual problems. Testing included electroretinography, kinetic visual fields, comparative studies of Western blots, and indirect immunohistologic examination to detect antiretinal antibodies, as well as proteomic studies to identify underlying antigenic retinal proteins.

resultsPatients with MAR typically have rapid onset of photopsias, scotomata, and loss of central or paracentral vision. Ophthalmoscopy seldom shows significant changes early, but electroretinograms are abnormal. Results of Western blots and immunohistologic examination can show antiretinal antibodies but not always. Most patients (9 of 11) had a strong family history of autoimmune disorders. Any type of melanoma (cutaneous, choroidal, ciliary body, or choroidal nevi) may be associated with this paraneoplastic autoimmune reactivity. MAR may precede or follow the diagnosis of melanoma. Patients with MAR have the same antigenic retinal proteins that have been associated with cancer-associated retinopathy. In addition, 2 new antigenic retinal proteins, aldolase A and aldolase C, were found.

conclusionsThere was a high prevalence of positive family histories of autoimmune disease in patients with MAR. To confirm the disorder, multiple clinical and serum diagnostic techniques (Western blot or indirect immunohistologic examination) are needed. Two newly observed antigenic retinal proteins, aldolase A and aldolase C, are associated with MAR.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesAutoantigensAutoimmune DiseasesBlotting, WesternElectrophoresis, Polyacrylamide GelElectroretinographyFemaleFluorescent Antibody Technique, IndirectFructose-Bisphosphate AldolaseHumansMaleMelanomaMiddle AgedAutoantibodiesAutoantigensFructose-Bisphosphate Aldolase

Identifiers

PMID20008709
PMCPMC4618318
OpenAlexW2165918975

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.