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Published on: September 20, 2018
Epidemic retinitis and community outbreaks.
Ankush Kawali1, Sanjay Srinivasan1, Padmamalini Mahendradas1
1Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India.
This study found no direct correlation between epidemic retinitis (ER) and most community outbreaks, suggesting dengue may be a less common cause of ER. Enhanced reporting of rickettsial infections is recommended.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Epidemiology
Background:
- Epidemic retinitis (ER) is an ocular condition with varying etiologies.
- Understanding the relationship between ER and concurrent community disease outbreaks is crucial for public health.
- Seasonal patterns of ER and their correlation with infectious disease outbreaks require investigation.
Purpose of the Study:
- To investigate the seasonal variation of epidemic retinitis (ER) in South India.
- To correlate the incidence of ER with concurrent community outbreaks reported by the Integrated Disease Surveillance Program (IDSP).
Main Methods:
- A retrospective, observational, comparative study was conducted from 2009 to 2020.
- Monthly ER case data were compared with IDSP-reported outbreaks of various infectious diseases.
- Graphical analysis was used to compare temporal patterns of ER and community outbreaks.
Main Results:
- Epidemic retinitis (ER) was diagnosed in 163 patients, with rickettsial infections suspected in 29.44%.
- No outbreak graph patterns were identical or similar to the ER graph.
- An inverse relationship was observed between dengue outbreaks and ER incidence.
Conclusions:
- The inverse correlation between dengue and ER warrants further investigation to establish causation.
- Dengue may be a less common cause of epidemic retinitis (ER).
- Improved reporting of rickettsial outbreaks through enhanced awareness and diagnostic testing is recommended.
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