Leptospiral Uveitis: Case Series and Review of Literature

Ocular Leptospirosis: Report of a Challenging Diagnosis

PURPOSE

To report a challenging case of serologically confirmed posterior uveitis due to leptospirosis.

METHODS

Review of medical records.

RESULTS

Thirteen-year-old boy presented focal necrotizing retinochoroiditis after flood exposure. Laboratory work-up confirmed leptospirosis infection and proper antibiotic treatment was done. The patient evolved well. but during late follow-up he developed nummular keratitis.

CONCLUSION

Leptospirosis is a possible etiology of necrotizing posterior uveitis. The use of antimicrobial therapy is controversial but was used in this case, in association with corticosteroids, leading to resolution of retinal inflammation. Despite treatment, the patient developed late corneal opacities, which did not lead to visual impairment.

Acute Unilateral Hypertensive Uveitis in Leptospirosis: A Case Report

PURPOSE

We report the rare occurrence of unilateral acute hypertensive uveitis in the acute phase of systemic leptospirosis.

METHODS

Observational case report and review of literature.

RESULTS

A young male mason from coastal Karnataka in south India, presenting with acute febrile illness, was diagnosed to have systemic leptospirosis. He also had features of sudden raised intraocular pressure with anterior uveitis in one eye, which subsided with medical management.

CONCLUSION

Leptospirosis should be considered as a differential in the diagnosis of acute hypertensive uveitis.