Neuro-ophthalmic manifestations of autoimmune disorders: diagnostic pearls & pitfalls

Curr Opin Ophthalmol. 2023 Nov 1;34(6):500-513. doi: 10.1097/ICU.0000000000001001. Epub 2023 Sep 20.

Abstract

Purpose of review: The purpose of this review is to highlight a clinical-anatomical approach to localizing neuro-ophthalmic manifestations of associated autoimmune disorders.

Recent findings: Our understanding of autoimmune conditions has changed considerably over recent years, particularly with the emergence of novel autoantibodies. Cardinal neuro-ophthalmic signs and symptoms of antibody-mediated autoimmune disorders have been well characterized; knowledge thereof may be the first step towards an accurate diagnosis.

Summary: A thorough history, further refined by a comprehensive examination are cornerstones to disease localization in clinical medicine. Taken together, these essential steps both guide investigations and facilitate early recognition of autoimmune disorders. From a neuro-ophthalmic perspective, it is important to understand heralding signs and symptoms of autoimmune syndromes, avoid cognitive errors, and remain mindful of common diagnostic pitfalls to optimize care.

Video abstract: http://links.lww.com/COOP/A61.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Autoantibodies
  • Autoimmune Diseases* / diagnosis
  • Humans
  • Syndrome

Substances

  • Autoantibodies