Leptospiral Uveitis: Usefulness of Clinical Signs as Diagnostic Predictors

Ocul Immunol Inflamm. 2018;26(4):569-576. doi: 10.1080/09273948.2016.1217341. Epub 2016 Sep 6.

Abstract

Purpose: To analyze the diagnostic predictive ability of clinical variables.

Methods: Demographic and clinical variables of 172 serologically proven leptospiral uveitis patients were compared with 200 controls of non-leptospiral uveitis. Multiple logistic regression analysis identified diagnostic predictors. A receiver operating characteristic curve tested the performance of the model.

Results: Of all variables, male gender, farming as an occupation, and clinical features such as non-granulomatous panuveitis, hypopyon, and vitreous infiltration in the absence of retinochoroiditis constituted the predictive parameters, with the sensitivity and specificity of 86% and 90.7%, respectively.

Conclusions: Multiple logistic analysis detected clinically diagnostic predictors that can assist primary care ophthalmologists. Clinical diagnosis can further be confirmed by serology at tertiary care centers.

Keywords: Diagnostic predictors; leptospirosis; sensitivity; specificity; uveitis.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Bacterial / analysis
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / microbiology
  • Female
  • Humans
  • Leptospira / immunology
  • Leptospira / isolation & purification
  • Leptospirosis / diagnosis*
  • Leptospirosis / microbiology
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Uveitis / diagnosis*
  • Uveitis / microbiology
  • Young Adult

Substances

  • Antibodies, Bacterial