Uveitis associated with an epidemic outbreak of leptospirosis

S R Rathinam1, S Rathnam, S Selvaraj

  • 1Aravind Eye Hospital, Madurai, India.

Insights

Leptospirosis can cause various forms of uveitis, including panuveitis, with a generally good prognosis. Early recognition in endemic areas is crucial for accurate diagnosis and management of this ocular condition.

Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Microbiology

Background:

  • Leptospirosis is a zoonotic infection caused by pathogenic Leptospira species.
  • Ocular manifestations, particularly uveitis, can occur during systemic leptospirosis.

Observation:

  • This study defines the clinical presentation of uveitis in 73 patients during a leptospirosis outbreak.
  • Ocular involvement was unilateral in 35 and bilateral in 38 patients.
  • Common findings included panuveitis (95.5%), retinal periphlebitis (51.4%), and hypopyon (12.6%).

Findings:

  • The majority of affected eyes (82%) showed improvement or maintained vision after 8 months of follow-up.
  • Final visual acuity was 6/6 (20/20) in 52% of eyes.
  • Severe inflammation did not necessarily correlate with poor visual outcomes.

Implications:

  • Leptospirosis-associated uveitis can present diversely, including anterior uveitis and panuveitis.
  • Prompt identification is vital in endemic regions to distinguish it from other uveitic conditions.
  • Awareness aids in managing potential misdiagnosis, especially in young males prone to other immunologic uveitides.
Abstract

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