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Visual Fields in Epidemic Retinitis.

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AIM The aim of the study is to analyze visual fields defects (VFDs) in epidemic retinitis (ER). METHODS Patients with ER and Humphrey's visual field (HFA) 30-2 performed after resolution… Click to show full abstract

AIM The aim of the study is to analyze visual fields defects (VFDs) in epidemic retinitis (ER). METHODS Patients with ER and Humphrey's visual field (HFA) 30-2 performed after resolution were studied. VFD severity grading was performed. Patients treated with oral doxycycline (Group-A) versus doxycycline-steroids (group-B) were compared. RESULTS Thirty-five eyes of 25 patients were studied. Nasal, inferior, temporal and central VFD were seen in 19 (54.2%), 13 (37.1%), 7 (20%) and 6 (17.1%) eyes, respectively. Grade 0, 1, 2 and 3 VFDs were seen in 4 (11.4%), 15 (42.8%), 12 (34.2%) and 4 (11.4%) eyes respectively. Seven eyes with ≥1 year of follow-up post-resolution also showed grade 0-3 scotomas. Mean severity of scotoma was grade 1.15 (Median: 1) and 1.42 (Median: 1.5) in groups A (n = 13) and B (n = 14), respectively (p = .637). CONCLUSION ER can cause VFD persisting long after resolution. Treatment with oral doxycycline without steroids was non-inferior to combined treatment with respect to VFD.

Keywords: doxycycline; resolution; fields epidemic; visual fields; epidemic retinitis

Journal Title: Ocular immunology and inflammation
Year Published: 2022

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