Chai, Lee Tan and Lai, Chan Fhun and Li, Evelyn MinTai and Abdul Gani, Nor Hasnida and Muhammed, Julieana and Tuan Jaafar, Tengku Norina and Ahmad Tajudin, Liza Sharmini and Wan Hitam, Wan-Hazabbah
(2017)
Clinical Profile and Visual Outcome of Ocular Bartonellosis in Malaysia.
Journal of Tropical Medicine, 2017 (794612).
pp. 1-6.
ISSN 1687-9686
Abstract
Ocular bartonellosis can present in various ways, with variable visual outcome. There is limited data on ocular
bartonellosis in Malaysia. Objective. We aim to describe the clinical presentation and visual outcome of ocular bartonellosis in
Malaysia. Materials and Methods.This was a retrospective review of patients treated for ocular bartonellosis in two ophthalmology
centers inMalaysia between January 2013 and December 2015. The diagnosis was based on clinical features, supported by a positive
Bartonella spp. serology. Results. Of the 19 patients in our series, females were predominant (63.2%).The mean age was 29.3 years.
The majority (63.2%) had unilateral involvement. Five patients (26.3%) had a history of contact with cats. Neuroretinitis was the
most common presentation (62.5%). Azithromycin was the antibiotic of choice (42.1%). Concurrent systemic corticosteroids were
used in approximately 60% of cases. The presenting visual acuity was worse than 6/18 in approximately 60% of eyes; on final
review, 76.9% of eyes had a visual acuity better than 6/18. Conclusion. Ocular bartonellosis tends to present with neuroretinitis.
Azithromycin is a viable option for treatment. Systemic corticosteroids may be considered in those with poor visual acuity on
presentation.
Actions (login required)
 |
View Item |
![[img]](http://eprints.usm.my/style/images/fileicons/application_pdf.png)
