钩端螺旋体葡萄膜炎：病例系列和文献综述

IF 2.6 4区医学 Q2 OPHTHALMOLOGY Ocular Immunology and Inflammation Pub Date : 2024-10-01 Epub Date: 2023-12-21 DOI:10.1080/09273948.2023.2296037

Abhilasha Baharani, Raja Rami Reddy P

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引用次数: 0

摘要

目的：介绍钩端螺旋体葡萄膜炎的临床特征和文献综述：介绍钩端螺旋体IgM抗体阳性的钩端螺旋体葡萄膜炎患者的临床特征：共纳入24名患者的26只眼睛，其中男性11名（45.8%）。平均年龄为 37.5 ± 15.6 岁。91.7%患有单侧葡萄膜炎，88.5%患有泛葡萄膜炎，11.5%患有前葡萄膜炎，15.4%患有视网膜下腔炎，8%患有白内障，3.8%患有囊样黄斑水肿。带有特征性玻璃膜的玻璃体炎是一个重要特征。扫源光学相干断层血管造影显示，视网膜和脉络膜血管保存完好。出现时的平均BCVA为logMAR0.49 ± 0.41，最终BCVA为logMAR0.04 ± 0.13。葡萄膜炎完全缓解的平均时间为（39.1 ± 15.5）天。84.6%的患者视力达到BCVA 6/6：结论：钩端螺旋体葡萄膜炎是一种报告不足的疾病。它可能表现为前葡萄膜炎或泛葡萄膜炎。必须将其纳入非肉芽肿性葡萄膜炎的鉴别诊断中。即使是重症病例，视力预后通常也很好。

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Leptospiral Uveitis: Case Series and Review of Literature.

Aim: To present the clinical features and review of literature of leptospiral uveitis.

Methods: We present clinical features of patients with leptospiral uveitis with positive Leptospira IgM antibodies.

Results: Twenty-six eyes of 24 patients, 11 males (45.8%), were included. The mean age was 37.5 ± 15.6 years. 91.7% had unilateral uveitis, 88.5% panuveitis, 11.5% anterior uveitis, 15.4% had hypopyon, 8% had cataract and 3.8% eyes had cystoid macular edema. Vitritis with characteristic vitreous membranes was an important feature. Retinal and choroidal vasculature were preserved on swept-source optical coherence tomography angiography. Mean presenting BCVA was logMAR0.49 ± 0.41, while final BCVA was logMAR0.04 ± 0.13. The mean duration for complete resolution of uveitis was 39.1 ± 15.5 days. 84.6% eyes achieved BCVA 6/6.

Conclusion: Leptospiral uveitis is an under-reported entity. It may present as anterior uveitis or panuveitis. It must be included in the differential diagnosis of non-granulomatous uveitis. The visual prognosis is usually favorable even in severe cases.

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来源期刊

Ocular Immunology and Inflammation 医学-眼科学

CiteScore

6.20

自引率

15.20%

发文量

285

审稿时长

6-12 weeks

期刊介绍： Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.

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