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Bilateral Multifocal Chorioretinopathy in a Woman With Cutaneous Malignant Melanoma
Arch Ophthalmol. 2002;120:1756-1761.
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INTRODUCTION
Melanoma-associated retinopathy (MAR) is a paraneoplastic retinopathy that occurs predominantly in males as a distal effect induced by the immune system's response to a cutaneous malignant melanoma (CMM).1 Onset and survival differ markedly, with associated vision problems occurring, on average, 3.6 years (range, 2 months to 19 years) following the diagnosis of CMM, and 1.9 years (range, 1 month to 15 years) subsequent to the finding of metastases. Survival time following the diagnosis of CMM is 5.9 years on average, ranging from 1 to 19.5 years.1 The MAR syndrome typically manifests as a sudden onset of disabling glare or night blindness that is thought to result from the production of autoantibodies reactive with retinal depolarizing bipolar cells.2 While the physical appearance of the retina is frequently normal, changes in the retinal pigment epithelium (RPE), such as a slight mottling, have been reported1, 3 together with optic disc pallor, retinal vessel attenuation, . . . [Full Text of this Article]
Report of a Case
Comment
Corresponding author: Anja M. Palmowski, MD, Department of Ophthalmology, Saarland University Hospital, D-66421 Homburg/Saar, Germany (e-mail: auapal@med-rz.uni-sb.de).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Autoantibodies Against Bestrophin in a Patient With Vitelliform Paraneoplastic Retinopathy and a Metastatic Choroidal Malignant Melanoma
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Arch Ophthalmol 2008;126:432-435.
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