Analysis of local antibody production in the vitreous humor of patients with severe uveitis

G S Baarsma, L Luyendijk, A Kijlstra, J de Vries, E Peperkamp, D A Mertens, J C van Meurs

Research output: Contribution to journalArticleResearchpeer-review

Abstract

We analyzed the local antibody production in vitreous humor samples collected during vitrectomy in patients with severe vision-threatening uveitis. In 24 patients, paired serum and undiluted vitreous humor samples were collected and tested for antibodies against Toxoplasma gondii, herpes simplex virus, varicella-zoster virus, cytomegalovirus, Epstein-Barr virus, and Toxocara canis. Total IgG and the Goldmann-Witmer coefficient were determined. The initial diagnosis of ocular toxoplasmosis could be confirmed in six of the seven patients. The seventh patient showed a local antibody production against herpes simplex virus. One of the three patients with chronic panuveitis at initial diagnosis showed a local antibody production against T. gondii. These last two findings resulted in a change in medical treatment. Analysis of local antibody production in vitreous humor samples is a valuable diagnostic tool.

Original languageEnglish
Pages (from-to)147-50
Number of pages4
JournalAmerican Journal of Ophthalmology
Volume112
Issue number2
DOIs
Publication statusPublished - 15 Aug 1991

Keywords

  • Animals
  • Antibodies/analysis
  • Antibodies, Protozoan/analysis
  • Antibodies, Viral/analysis
  • Antibody Formation
  • Humans
  • Simplexvirus/immunology
  • Toxoplasma/immunology
  • Uveitis/immunology
  • Vitrectomy
  • Vitreous Body/immunology

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