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Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
Published on: March 24, 2020
Unusual ocular clinical manifestation of leptospirosis
V M Asensio-Sánchez1, B Haro-Álvarez1, J Herreras1
1Servicio de Oftalmología, Hospital Clínico Universitario, Valladolid, España.
Clinical Case:
An uncommon case is presented of a 15 year-old girl with bilateral, multiple serous detachments of retina and retinal pigment epithelium. With clinical and laboratory (IgG 1/160 and IgM 1/160, using an indirect immunofluorescence assay) diagnoses of leptospirosis, a complete ophthalmic examination, fluorescein angiography, autofluorescence and optical coherence tomography were performed, and the patient was followed for two years.
Discussion:
Bilateral, multiple serous detachments of retina and retinal pigment epithelium can be a complication of systemic leptospirosis, a zoonotic disease caused by Leptospira. Without a detailed medical history it may be underdiagnosed, mainly because it can mimic other more common diseases. It may be prudent to ask patients regarding contact with pets.
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