Immunohistochemical analysis of a vitreous membrane removed from a patient with incontinentia pigmenti-related retinal detachment

Márta Janáky, András Hári Kovács, Ágnes Jánossy, Dóra Török, Béla Ivanyi, Gábor Braunitzer, György Benedek

Research output: Contribution to journalArticle

Abstract

This is a case history of a 23-year-old woman suffering from incontinentia pigmenti (IP). The patient’s vision in the left eye started to deteriorate due to cataract progression at the age of 22, and by the age of 23, it dropped from 0.9 to 0.04. Ultrasound examination confirmed tractional vitreoretinal membranes. Vitrectomy was performed, therefore, on her left eye. The histological evaluation of vitreous membrane revealed a complex immunophenotype (positivity for glial fibrillary acidic protein (GFAP), vimentin, S-100, anti-pan cytokeratin antibody (AE/AE3), and smooth muscle-specific actin (SMA) to various extents). The right eye remained unsymptomatic throughout this course. Besides being the first to analyze the tractional vitreoretinal membrane in IP with immunohistochemical methods, this case study points out that extreme cases of asymmetric side involvement in IP do exist, even to the point of one eye being completely unsymptomatic.

Original languageEnglish
Article number5
JournalVision (Switzerland)
Volume4
Issue number1
DOIs
Publication statusPublished - Mar 2020

Keywords

  • Epiretinal membrane
  • Hereditary diseases
  • Immunohistochemistry
  • Incontinentia pigmenti

ASJC Scopus subject areas

  • Sensory Systems
  • Ophthalmology
  • Cell Biology
  • Cognitive Neuroscience
  • Optometry

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