Ocular characteristics in nephropathia epidemica or Puumala virus infection.

Ocular characteristics in nephropathia epidemica or Puumala virus infection. Research Abstract Details 

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Ocular characteristics in nephropathia epidemica or Puumala virus infection. Abstract Text:

PURPOSE: We documented 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 subconjuctival 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.

Ocular characteristics in nephropathia epidemica or Puumala virus infection. Publishing Authors By Initials

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Ocular characteristics in nephropathia epidemica or Puumala virus infection. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Acta ophthalmologica Scandinavica

VOLUME: 74

Page Numbers: 621-5

Journal Abbreviation: Acta Ophthalmol Scand

ISSN: 1395-3907

DAY: 17

MONTH: Dec

YEAR: 1996

Ocular characteristics in nephropathia epidemica or Puumala virus infection. Information

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LANGUAGE: eng

NlmUniqueID: 9507578

Ocular characteristics in nephropathia epidemica or Puumala virus infection. Keywords Mesh Terms:

KEYWORDS: Visual Acuity

MESH TERMS: etiology

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Grant and Affiliation Information for Ocular characteristics in nephropathia epidemica or Puumala virus infection.

AFFILIATION: Department of Ophthalmology, Savonlinna Central Hospital, Finland.

Country: DENMARK

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MEDLINETA: Acta Ophthalmol Scand

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