Ocular characteristics in Nephropathia epidemica or Puumala virus infection
| Autor: | Paula Kauppi, Juhani Lähdevirta, Tuomo Puustjärvi, Matti Kontkanen |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Chemosis medicine.medical_specialty Intraocular pressure Visual acuity Adolescent Eye Diseases genetic structures Photophobia Anterior Chamber Visual Acuity Blurred vision Edema Lens Crystalline Myopia medicine Nephropathia epidemica Humans Prospective Studies Child Intraocular Pressure Aged Aged 80 and over biology business.industry Middle Aged biology.organism_classification medicine.disease eye diseases Surgery Ophthalmology Hemorrhagic Fever with Renal Syndrome Acute Disease Female Puumala virus sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | Acta Ophthalmologica Scandinavica. 74:621-625 |
| ISSN: | 1395-3907 |
| DOI: | 10.1111/j.1600-0420.1996.tb00748.x |
| Popis: | Purpose: We document the largest series so far concerning the ocular characteristics of nephropathia epidemica. Methods: A total of 37 consecutive nephropathia epidemica patients underwent a comprehensive ophthalmic examination during hospitalization for systemic infection, and a control examination after recovery. Results: The most common ocular symptoms were: frontal headache or periocular pain (75.6%), blurred vision (54.1%) and photophobia (10.8%). The best corrected visual acuity of 7 patients (18.9%) was reduced during the acute phase as compared to the later control examination. Myopic shift was found in 15 patients (40.5%), three of whom (8.1%) developed real transient myopia. There were no attacks of angle closure glaucoma in this series. On the contrary, the intraocular pressure was decreased in 49 eyes (66.2%) during the acute stage of the disease. Lid edema was present in 28 eyes (37.8%), conjunctival injection in 20 eyes (27.0%), chemosis in 8 eyes (10.8%) and subconjunctival bleeding in 3 eyes (4.1%). Signs of acute anterior uveitis were found in 10 eyes (13.5%), however, this resolved without treatment. In one eye retinal edema with hemorrhages was detected. Ultrasonography revealed narrowing of the anterior chamber during the acute phase in 69 eyes (93.2%) and thickening of the crystalline lens in 64 eyes (86.5%). Conclusion: Ophthalmic findings in nephropathia epidemica are not uncommon. The symmetry of the clinical manifestations reflects the systemic nature of the underlying infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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