Evidence map›Paper›PMID 40824502›Full record

ReviewInternational ophthalmology2025

Diagnosis and treatment of autoimmune retinopathy: review of current approaches.

Dimitrios Kalogeropoulos, Andrew John Lotery, Carlos Pavesio, Chris Kalogeropoulos, Panagiotis Kanavaros, Farid Afshar, Fatima Shawkat, Gabriella De Salvo

Abstract readReview
In one paragraph

Review in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Paraneoplastic neurologic syndrome in a 65-year-old woman with small cell lung cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  2. Paraneoplastic syndromes and the retina.Current opinion in ophthalmology · 2026
    Review
  3. Article
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

8 authors.

Dimitrios KalogeropoulosSouthampton Eye Unit, University Hospital Southampton, 103 Tremona Rd, Southampton, SO16 6HU, UK.
Andrew John LoterySouthampton Eye Unit, University Hospital Southampton, 103 Tremona Rd, Southampton, SO16 6HU, UK.
Carlos PavesioNational Institute for Health Research Biomedical Research Centre, Moorfields Eye Hospital, London, UK.
Chris KalogeropoulosDepartment of Ophthalmology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Panagiotis KanavarosDepartment of Anatomy-Histology-Embryology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.
Farid AfsharSouthampton Eye Unit, University Hospital Southampton, 103 Tremona Rd, Southampton, SO16 6HU, UK.
Fatima ShawkatSouthampton Eye Unit, University Hospital Southampton, 103 Tremona Rd, Southampton, SO16 6HU, UK.
Gabriella De SalvoSouthampton Eye Unit, University Hospital Southampton, 103 Tremona Rd, Southampton, SO16 6HU, UK. gabrielladesalvo@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide a comprehensive overview of the existing understanding regarding the clinical characteristics, diagnostic investigation, and treatment strategies for autoimmune retinopathy (AIR). To emphasize the lack of consensus in the field and the ongoing controversies regarding best practices.

methodsNarrative review of the literature on PubMed and Google Scholar databases.

resultsAIR comprises a group of rare autoimmune disorders causing retinal degeneration, characterized by rapid vision deterioration linked to circulating anti-retinal autoantibodies (ARAs). The spectrum includes primary autoimmune diseases and associations with retinitis pigmentosa or various malignancies, raising questions about the causative role of antibodies. Non-paraneoplastic AIR patients may be younger on average than paraneoplastic AIR patients and may have a higher likelihood of being female and having a history of autoimmune disease. Diagnosing AIR is challenging due to its complex pathophysiology, overlapping phenotypes, the absence of standardized diagnostic criteria, and the limited availability of specialized serological testing for ARAs. Despite decades of research progress, the exact mechanisms underlying ocular immune privilege breakdown and the autoimmune attack on retinal cells in AIR remain unknown.

conclusionsThe diagnosis and management of AIR present ongoing challenges, with no international consensus on diagnostic criteria or treatment protocols. While several authors consider the identification of circulating ARAs crucial for diagnosis, there is disagreement on the pathogenicity of specific antibodies, including anti-recoverin. The lack of randomized controlled trials and a universally accepted treatment protocol for AIR further contribute to uncertainties in its management. Despite recent advances, AIR remains an enigmatic condition, necessitating further research to establish standardized diagnostic and therapeutic guidelines.

Indexed as

AutoantibodiesAutoimmune DiseasesRetinaRetinal DiseasesHumansAutoantibodiesAnti-retinal autoantibodiesAutoimmune diseasesAutoimmune retinopathyCancer-associated retinopathyMalignanciesMasqueradesMelanoma-associated retinopathy

Identifiers

PMID40824502
PMCPMC12361291

What OpenQuestion holds

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Registered trials

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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.