Leptospirosis and uveitis

In 1976 we presented seven patients with anterior uveitis due to leptospirosis with positive serological tests. During the years 1975 to 1977 we had the opportunity to observe a further 16 cases. In most of these cases the serological tests were positive for more than one leptospira serotype--in one case even five. In all the follow-up cases during a period of two to seven months, there was complete recovery. We suggest that leptospirosis is a possibility which should not be overlooked in the diagnosis of anterior uveitis, especially bilateral, in young males working in field irrigation and dairy workers in known endemic areas.