Bartonella As A Cause of Eye Inflammation – Uveitis & Retinal Vasculitis

Bartonella and intraocular inflammation: a series of cases and review of literature
Kalogeropoulos C, Koumpoulis I, Mentis A, Pappa C, Zafeiropoulos P, Aspiotis M

Clinical Ophthalmology, June 2011 Volume 2011:5, pages 817-829.

http://dx.doi.org/10.2147/OPTH.S20157

Purpose: To present various forms of uveitis and/or retinal vasculitis attributed to Bartonella infection and review the impact of this microorganism in patients with uveitis.

Methods: Retrospective case series study. Review of clinical records of patients diagnosed with Bartonella henselae and Bartonella quintana intraocular inflammation from 2001 to 2010 in the Ocular Inflammation Department of the University Eye Clinic, Ioannina, Greece. Presentation of epidemiological and clinical data concerning Bartonella infection was provided by the international literature.

Results: Eight patients with the diagnosis of Bartonella henselae and two patients with B. quintana intraocular inflammation were identified. Since four patients experienced bilateral involvement, the affected eyes totaled 14. The mean age was 36.6 years (range 12–62). Uveitic clinical entities that we found included intermediate uveitis in seven eyes (50%), vitritis in two eyes (14.2%), neuroretinitis in one eye (7.1%), focal retinochoroiditis in one eye (7.1%), branch retinal vein occlusion (BRVO) due to vasculitis in one eye (7.1%), disc edema with peripapillary serous retinal detachment in one eye (7.1%), and iridocyclitis in one eye (7.1%). Most of the patients (70%) did not experience systemic symptoms preceding the intraocular inflammation.

Antimicrobial treatment was efficient in all cases with the exception of the case with neuroretinitis complicated by anterior ischemic optic neuropathy and tubulointerstitial nephritis.

Conclusion: Intraocular involvement caused not only by B. henselae but also by B. quintana is being diagnosed with increasing frequency. A high index of suspicion is needed because the spectrum of Bartonella intraocular inflammation is very large. In our study the most common clinical entity was intermediate uveitis.

Full access here: http://dx.doi.org/10.2147/OPTH.S20157

Share

3 comments for “Bartonella As A Cause of Eye Inflammation – Uveitis & Retinal Vasculitis

  1. Grover Degregorio
    June 23, 2013 at 10:12 am

    The iris is made up of muscular fibers that control the amount of light entering the pupil so that you can see clearly. The iris accomplishes this task by making the pupil smaller in bright light and larger in dim light…’^,

    With best regards http://www.healthmedicine101.comtm

  2. October 25, 2013 at 2:37 pm

    Grdat beat ! I wish to apprentice while you amend your web site,
    how can i subscribe for a bloig website? The account helped me a
    applicable deal. Ihad been a little bit acquainted off his your broadcast offered bright transparent concept

  3. November 4, 2014 at 1:39 pm

    Thanks for finally talking about >Bartonella As A Cause of
    Eye Inflammation – Uveitis & Retinal Vasculitis |
    My Lyme Disease Treatment <Loved it!

Comments are closed.