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https://www.readbyqxmd.com/read/30515585/syphilitic-uveitis-misdiagnosed-as-viral-retinitis-a-misleading-history
#1
Manisha Agarwal, Richa Ranjan, Lagan Paul, Deepa Sharma
BACKGROUND: Syphilitic uveitis is an infective uveitis and a great mimicker. Misdiagnosis can lead to delay in the specific treatment resulting in deterioration of uveitis and loss of vision. FINDINGS: A 38-year-old unmarried female presented with pain, redness, and blurring of vision in the left eye for the last 5 days. She denied history of any sexual exposure in the past. Anterior segment examination of the right eye was normal and the left eye showed keratic precipitates with anterior chamber cells and iris pigments on anterior lens capsule...
December 4, 2018: Journal of Ophthalmic Inflammation and Infection
https://www.readbyqxmd.com/read/30505865/a-review-of-antimicrobial-therapy-for-infectious-uveitis-of-the-posterior-segment
#2
REVIEW
Ahmed B Sallam, Kyle A Kirkland, Richard Barry, Mohamed Kamel Soliman, Tayyeba K Ali, Sue Lightman
Treatment of infectious posterior uveitis represents a therapeutic challenge for ophthalmologists. The eye is a privileged site, maintained by blood ocular barriers, which limits penetration of systemic antimicrobials into the posterior segment. In addition, topical and subconjunctival therapies are incapable of producing sufficient drug concentrations, intraocularly. Posterior infectious uveitis can be caused by bacteria, virus, fungi, or protozoa. Mode of treatment varies greatly based on the infectious etiology...
2018: Medical Hypothesis, Discovery and Innovation in Ophthalmology
https://www.readbyqxmd.com/read/30489451/immune-recovery-uveitis-like-syndrome-mimicking-recurrent-t-cell-lymphoma-after-autologous-bone-marrow-transplant
#3
Jeremy A Lavine, Arun D Singh, Kimberly Baynes, Sunil K Srivastava
PURPOSE: To report the multimodal imaging findings of immune recovery uveitis mimicking recurrent T-cell lymphoma after autologous bone marrow transplant therapy. METHODS: A 71-year-old man presented with posterior uveitis 6 weeks after chemotherapy and autologous bone marrow transplant for angioimmunoblastic T-cell lymphoma. Multimodal imaging included fluorescein angiography, fundus autofluorescence, and optical coherence tomography. Diagnostic testing included ocular polymerase chain reaction and diagnostic vitrectomy...
November 26, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/30474222/emerging-infectious-uveitis-chikungunya-dengue-zika-ebola
#4
REVIEW
Genevieve F Oliver, Jillian M Carr, Justine R Smith
Recently recognised forms of uveitis include intraocular inflammations that occur during or following one of several emerging infectious diseases: chikungunya fever, dengue, Zika virus disease and Ebola virus disease. Anterior, intermediate, posterior and pan- uveitis have been described in individuals infected with chikungunya virus. Persons who contract dengue or Zika viruses also may develop different types of uveitis in the course of the infection: maculopathy is a common manifestation of dengue eye disease, and Zika eye disease may cause hypertensive anterior uveitis or mimic a white dot syndrome...
November 25, 2018: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/30411142/relevance-of-erythrocyte-sedimentation-rate-and-c-reactive-protein-in-patients-with-active-uveitis
#5
Fahriye Groen-Hakan, Laura Eurelings, Jan van Laar, Aniki Rothova
PURPOSE: To relate erythrocyte sedimentation rates (ESR) and C-reactive protein (CRP) values to different uveitis entisties. METHODS: A retrospective study of patients with a first episode of active uveitis visiting the Erasmus University Medical Center, uveitis clinic, Rotterdam, the Netherlands, was performed. Levels of ESR and CRP were determined within 2 weeks and 1 week after onset of uveitis, respectively. Uveitis had to be of unknown origin at that moment...
November 8, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/30386807/care-of-ebola-survivors-and-factors-associated-with-clinical-sequelae-monrovia-liberia
#6
A de St Maurice, E Ervin, R Orone, M Choi, E K Dokubo, P E Rollin, S T Nichol, D Williams, J Brown, R Sacra, J Fankhauser, B Knust
Background: The Eternal Love Winning Africa (ELWA) Clinic was the first clinic to provide free, comprehensive care to Ebola virus disease (EVD) survivors in Liberia. The objectives of this analysis were to describe the demographics and symptoms of EVD survivors at ELWA from January 2015 through March 2017 and to identify risk factors for development of sequelae. Methods: Patients' demographic and clinical information was collected by chart review in June 2016 and March 2017...
October 2018: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/30358761/role-of-diagnostic-pars-plana-vitrectomy-in-determining-the-etiology-of-uveitis-initially-unknown
#7
Xin-Yu Zhao, Song Xia, You-Xin Chen
PURPOSE: To estimate the success and safety of diagnostic pars plana vitrectomy (PPV) in determining the etiology of uveitis initially unknown and analyze their characteristics. METHODS: The PubMed, Embase, and Ovid were searched up to October 2017 to identify relevant studies. The PRISMA guidelines were followed. Statistical analyses were performed with R version 3.3.1. Result in proportion were transformed by the Freeman-Tukey variant of arcsine square to attain symmetry of confidence intervals (CIs)...
October 23, 2018: Retina
https://www.readbyqxmd.com/read/30355888/real-time-polymerase-chain-reaction-for-diagnosis-and-management-of-hiv-induced-uveitis
#8
Jayapratha R Selvaraj, S Sudharshan, Lily K Therese, M K Janani, Poongulali Selvamuthu, Parveen Rewri, Jyotirmay Biswas
Intraocular (IO) inflammation in patients with Human immune deficiency virus (HIV) infection can be due to opportunistic infections, immune recovery uveitis, drugs used in the management or a primary manifestation of HIV itself. We studied the role of RT-PCR for HIV RNA in confirming the diagnosis of HIV induced uveitis and its useful in the management and follow-up of these patients.
November 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/30355419/utility-of-routine-chest-radiography-in-ocular-tuberculosis-and-sarcoidosis
#9
J A Shaw, D P Smit, S Griffith-Richards, C F N Koegelenberg
BACKGROUND: Tuberculosis (TB) and sarcoidosis commonly present with pulmonary and ocular involvement. Routine chest radiography (CXR) is recommended in the workup for suspected intraocular TB (IOTB) or intraocular sarcoidosis (IOS); however, data on the utility of CXR in this setting are lacking. METHODS: A post-hoc analysis was performed of a prospectively collected data set comprising 104 patients with uveitis of unknown cause. A pulmonologist and thoracic radiologist, blinded to the final diagnosis, independently reported these CXRs as being in keeping with TB or sarcoidosis...
November 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/30345620/demystifying-viral-anterior-uveitis-a-review
#10
REVIEW
Nicole Shu-Wen Chan, Soon-Phaik Chee
A viral aetiology should be suspected when anterior uveitis is accompanied by ocular hypertension, diffuse stellate keratic precipitates or the presence of iris atrophy. The most common viruses associated with anterior uveitis include herpes simplex virus, varicella-zoster virus, cytomegalovirus and rubella virus. They may present as the following: Firstly, granulomatous cluster of small and medium-sized keratic preciptates in Arlt's triangle, with or without corneal scars, suggestive of herpes simplex or varicella-zoster virus infection...
October 21, 2018: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/30274199/ocular-manifestations-of-emerging-flaviviruses-and-the-blood-retinal-barrier
#11
REVIEW
Sneha Singh, Ashok Kumar
Despite flaviviruses remaining the leading cause of systemic human infections worldwide, ocular manifestations of these mosquito-transmitted viruses are considered relatively uncommon in part due to under-reporting. However, recent outbreaks of Zika virus (ZIKV) implicated in causing multiple ocular abnormalities, such as conjunctivitis, retinal hemorrhages, chorioretinal atrophy, posterior uveitis, optic neuritis, and maculopathies, has rejuvenated a significant interest in understanding the pathogenesis of flaviviruses, including ZIKV, in the eye...
September 28, 2018: Viruses
https://www.readbyqxmd.com/read/30239127/uveitis-causes-according-to-immune-status-of-patients
#12
Aniki Rothova, Anass Hajjaj, Joeri de Hoog, Alberta A H J Thiadens, Virgil A S H Dalm
PURPOSE: The advances in medicine have led to an increased number of people living with some form of immunodeficiency. Most ocular infections in immunocompromised patients may lead to irreversible blindness. We identify the causes of uveitis in immunocompetent and immunocompromised patients. METHODS: A retrospective cohort study of 1354 consecutive patients. All patients underwent a standard work-up for uveitis. RESULTS: An immunocompromised state was identified in 171/1354 patients (13%), of whom 40 had Human immunodeficiency virus (HIV) infection, 52 received immunosuppressive medications, 28 had concurrent malignant disorder and 20 had other causes for their immunosuppression...
September 21, 2018: Acta Ophthalmologica
https://www.readbyqxmd.com/read/30212432/human-immunodeficiency-virus-infection-increases-the-risk-of-incident-uveitis-among-people-living-with-hiv-aids
#13
Yung-Feng Yen, Jia-Yih Feng, Vincent Yi-Fong Su, Pei-Hung Chuang, Ming-Chung Ko, Chu-Chieh Chen, Yi-Jie Li, Sheng-Wei Pan, Wei-Juin Su
BACKGROUND: Case reports indicated that HIV itself may be a direct cause of uveitis. However, the association of HIV with incident uveitis has not been extensively studied. This nationwide cohort study determined the association of HIV with incident uveitis. METHODS: Since January 1, 2003, we identified adult people living with HIV/AIDS (PLWHA) from Taiwan Centers for Disease Control HIV Surveillance Database. A control cohort without HIV infection, matched for age and sex, was selected for comparison from the Taiwan National Health Insurance Research Database...
October 1, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/30104765/clinical-manifestations-and-ophthalmic-outcomes-of-ocular-syphilis-at-a-time-of-re-emergence-of-the-systemic-infection
#14
João M Furtado, Tiago E Arantes, Heloisa Nascimento, Daniel V Vasconcelos-Santos, Natalia Nogueira, Rafael de Pinho Queiroz, Luana P Brandão, Thaís Bastos, Ricardo Martinelli, Rodrigo C Santana, Cristina Muccioli, Rubens Belfort, Justine R Smith
Recent reports from different world regions suggest ocular syphilis is re-emerging, in parallel with an increasing incidence of the systemic infection globally. We conducted a large observational study of 127 persons consecutively treated for ocular syphilis at public medical centers in Brazil over a 2.5-year period ending July 2015. Of 104 individuals serologically tested for human immunodeficiency virus (HIV), 34.6% were positive. Ophthalmological evaluations included measurement of Snellen visual acuity and intraocular pressure, and assessment of inflammation by slit lamp examination and dilated posterior eye examination...
August 13, 2018: Scientific Reports
https://www.readbyqxmd.com/read/30096015/review-for-disease-of-the-year-treatment-of-viral-anterior-uveitis-a-perspective
#15
Souska Zandi, Bahram Bodaghi, Justus G Garweg
PURPOSE: To define a clinically tailored therapeutic strategy for the treatment of viral anterior uveitis (VAU). METHODS: A PubMed search spanning the past 5 years was conducted using the MesH-terms "viral anterior uveitis" and "therapy." RESULTS: The herpes simplex virus (HSV), the varicella zoster virus (VZV), and the cytomegalovirus (CMV) are the predominant pathogens in VAU. Other viruses, including rubella, chikungunya, and zika, have been linked with distinct forms of the disease...
2018: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/30075555/retinitis-associated-with-double-infection-of-epstein-barr-virus-and-varicella-zoster-virus-a-case-report
#16
Tomohito Sato, Riki Kitamura, Toshikatsu Kaburaki, Masaru Takeuchi
RATIONALE: Chronic uveitis with immunosuppressive agents could develop chronic herpetic retinitis with varicella-zoster virus (VZV) or herpes simplex virus (HSV). Ocular Epstein-Barr virus (EBV) infection develops uveitis and vitritis, but the clinical feature of EBV retinitis is not typical as a viral retinitis. EBV retinitis is rare, and only a few cases of EBV retinitis have been reported. Herein, we describe a case of retinitis with EBV and VZV which were the primary viruses verified by multiplex polymerase chain reaction (PCR)...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30059636/bilateral-acute-retinal-necrosis-clinical-features-and-outcomes-in-a-multicenter-study
#17
Elisabetta Miserocchi, Lorenzo Iuliano, Giovanni Fogliato, Giulio Modorati, Cristobal Couto, Ariel Schlaen, Erika Hurtado, Victor Llorenç, Alfredo Adan, Francesco Bandello
PURPOSE: To describe clinical features and outcome in bilateral acute retinal necrosis (BARN). METHODS: Observational retrospective longitudinal review of ocular findings. RESULTS: Thirty eyes of 15 patients (age 44.1 ± 15.8). Delay of involvement between eyes was 57.2 ± 105.2 months (median 3, range 0.5-360). Herpes simplex virus (HSV)-1 was the most frequent (20 eyes, 66.6%), followed by HSV-2 (five eyes, 16.7%) and varicella zoster virus (VZV, four eyes, 13...
July 30, 2018: Ocular Immunology and Inflammation
https://www.readbyqxmd.com/read/30048405/optical-coherence-tomography-angiography-findings-in-acute-retinal-necrosis
#18
Gabriel Costa de Andrade, Luiz G Marchesi Mello, Gabriela C Martines, André Maia
PURPOSE: To report clinical features of acute retinal necrosis (ARN) using optical coherence tomography angiography. METHODS: A 59-year-old female patient presented with blurred vision in the left eye for 1 day. The patient presented posterior uveitis with multiple peripheral areas of retinal pallor with presumed acute retinal necrosis. Herpes simplex virus Type 1 infection was confirmed after serologic tests, and the polymerase chain reaction analysis of the aqueous humor tested positive...
July 25, 2018: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/30006272/autoantibody-profiling-in-intraocular-fluid-of-patients-with-uveitis
#19
Josianne C Ten Berge, Marco Wj Schreurs, Joost van Rosmalen, Aniki Rothova
A high prevalence of serum antiretinal antibodies (ARAs) in patients with uveitis has been previously described, though their clinical role remains elusive. Assessment of intraocular ARAs may provide further insight into the pathogenesis of diverse uveitis entities. In this study we investigate the prevalence of multiple specific anti-ocular antibodies (AOcAs), including ARAs, in intraocular fluid of patients with uveitis. Autoantibody profiling with 188 different ocular antigens was performed by a multiplex immunoassay with intraocular fluid samples of 76 patients with uveitis...
November 2018: Experimental Eye Research
https://www.readbyqxmd.com/read/29993303/clinical-manifestations-and-pathogenesis-of-uveitis-in-ebola-virus-disease-survivors
#20
Steven Yeh, Jessica G Shantha, Brent Hayek, Ian Crozier, Justine R Smith
In the wake of the international Ebola virus disease (EVD) outbreak from 2014 to 2016, thousands of EVD survivors are at-risk of ophthalmic manifestations, as well as systemic sequelae including arthralgias, abdominal pain, psychosocial stressors, and risk of viral persistence in immune-privileged organs. Ophthalmic manifestations in EVD survivors include a spectrum of disease ranging from anterior uveitis to panuveitis, which confers a high risk of vision impairment and blindness, particularly given the access and resource limitations for ophthalmic subspecialty care in West Africa...
2018: Ocular Immunology and Inflammation
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