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

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Samenvatting

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.

Originele taal-2Engels
Pagina's (van-tot)147-50
Aantal pagina's4
TijdschriftAmerican Journal of Ophthalmology
Volume112
Nummer van het tijdschrift2
DOI's
StatusGepubliceerd - 15 aug. 1991

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