June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Neuroretinitis: Causes, clinical presentation and outcomes in an ophthalmology-specialized hospital in Mexico in 9 years
Author Affiliations & Notes
  • MARIA FERNANDA REBOLLO RAMIREZ
    Instituto de Oftalmología Fundación Conde de Vaencianal, Mexico city, Mexico
  • Miguel Pedroza-Seres
    Instituto de Oftalmología Fundación Conde de Vaencianal, Mexico city, Mexico
  • Deisy Diarte
    Instituto de Oftalmología Fundación Conde de Vaencianal, Mexico city, Mexico
  • Footnotes
    Commercial Relationships   MARIA FERNANDA REBOLLO RAMIREZ, None; Miguel Pedroza-Seres, None; Deisy Diarte, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 2179. doi:
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      MARIA FERNANDA REBOLLO RAMIREZ, Miguel Pedroza-Seres, Deisy Diarte; Neuroretinitis: Causes, clinical presentation and outcomes in an ophthalmology-specialized hospital in Mexico in 9 years. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2179.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Due to the small amount of investigations with the purpose of finding all the causes of neuroretinitis, the aim of this study is to look for all de causes of Neurorretinitis, the clinical manifestations and the outcomes in an ophthalmology-specialized hospital in Mexico from 2007 to 2016.

Methods : Descriptive, retrospective and longitudinal study. We included all the patients who attended to the Instituto de Oftalmología Fundación Conde de Valenciana from January 2007 to November 2016, whose diagnosis was Neuroretinitis.

Results : There were 63 patients with the diagnosis of Neuroretinitis (1.07% of all de patients seen in the Uvea department in that period of time). We excluded 17 patients who only attended to one consultation. The age range of the 46 patients was 9-64 years (mean 34.04 years, median 29.5 years). The male:female ratio was 1:1. The cause of neuroretinitis was unknown in 20 patients (43.47%). 16 (34.78%) had a proven infectious cause: 6 patients had Toxoplasma gondii, 3 had syphilis, 2 had Borrelia burdorferi, 2 had Bartonella henselae, 1 had Brucella abortus, 1 had tuberculosis and 1 developed acute retinal necrosis by herpes simplex virus. In 6 patients (13.04%) the cause was autoimmune: Vogt-Konayagi-Harada syndrome (VKH) in 3 patients, systemic lupus erythematosus (SLE) in 1 patient, Eales disease in 1 patient, 1 patient had Takayasu arteritis. 3 patients had hypertensive retinopathy, and one had a neovascular membrane. Unilateral affection was present in 65.21% of the general group, 75% of infectious group, 33.33% of the autoimmune group and 75% of the group of unknown cause. Inflammatory cells in anterior chamber and vitreous, papillary hemorrhages, initial and final visual acuitiy were also studied and compared between the groups.

Conclusions : Cat scratch disease (CSD) is by far not the only cause of neuroretinitis. The most common infectious cause in our population is toxoplasmosis. VKH,Takayasu arteritis, LES and Eales disease can present initially with neuroretinitis. Affection of only one eye is the most common presentarion. When the cause is infectious it’s more probable the affection of only one eye, when the cause is autoimmune it’s more common that both eyes are involved. There are no sex or age predilection.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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