Analysis of 1840 Equine Intraocular Fluid Samples for the Presence of Anti-Leptospira Antibodies and Leptospiral DNA and the Correlation to Ophthalmologic Findings in Terms of Equine Recurrent Uveitis (ERU)-A Retrospective Study.
Abstract: In the equine clinic of the LMU in Munich, therapeutic vitrectomies have been routinely performed in horses for three decades. The vitreous samples obtained during vitrectomies were usually tested for anti-Leptospira antibodies and for more than 20 years also by PCR for leptospiral DNA. If the indication for surgery was ophthalmologically inconclusive, an aqueous humor was collected preoperatively and examined for evidence of leptospiral infection. In this study, medical records from 2002 to 2017 were analyzed. Records for 1387 eyes affected by equine recurrent uveitis (ERU) and 237 eyes affected by another type of uveitis met the inclusion criteria. A total of 216 samples from healthy eyes were used as controls. In 83% of intraocular samples from ERU eyes, antibody titers of 1:100 or higher were detectable by microscopic agglutination test (MAT). Similarly, 83% of intraocular samples had anti-Leptospira antibodies detected by ELISA. In 72% of the intraocular specimens, leptospiral DNA was detectable by PCR. No antibodies were detectable in the samples from eyes with another type of uveitis or in the samples from healthy eyes. A PCR was positive in only one sample from a healthy eye. These results with a very high number of intraocular specimens demonstrate the great importance of an intraocular leptospiral infection for ERU. It can be concluded that for a reliable diagnosis of intraocular leptospiral infection or to reliably exclude an infection multiple tests should be applied.
Publication Date: 2022-08-21 PubMed ID: 36006363PubMed Central: PMC9414351DOI: 10.3390/vetsci9080448Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Antibodies
- Clinical Findings
- Correlation Analysis
- Diagnosis
- Diagnostic Technique
- Disease
- Disease Diagnosis
- DNA
- Enzyme-Linked Immunosorbent Assay (ELISA)
- Equine Diseases
- Equine Health
- Horses
- Infection
- Leptospira
- Microscopic Agglutination Test
- Ophthalmology
- Pathogens
- Polymerase Chain Reaction
- Retrospective Study
- Uveitis
- Veterinary Medicine
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article discusses a study conducted on horses spanning over a 15-year period (2002-2017), focusing on the correlation between intraocular Leptospira infection and equine recurrent uveitis (ERU). The study emphasizes the importance of multiple tests for a reliable diagnosis of intraocular Leptospira infection.
Research Methodology
- The equine clinic of the LMU in Munich has processed therapeutic vitrectomies on horses for about 30 years. Vitreous samples, obtained during these procedures, traditionally underwent testing for anti-Leptospira antibodies and have been tested for the presence of Leptospira DNA via PCR for over 20 years.
- In instances where the necessity for surgery was unclear based on ophthalmological findings, an aqueous humor was collected preoperatively and examined for signs of leptospiral infection.
- The study leveraged medical records from 2002 to 2017 and used inclusion criteria to select 1387 eyes affected by ERU, 237 eyes impacted by other types of uveitis, and 216 samples from healthy eyes as controls.
Findings of the Study
- A substantial proportion – 83%, of intraocular samples from ERU eyes displayed antibody titers of 1:100 or higher, detectable by the microscopic agglutination test (MAT). This was mirrored in the ELISA test results, where 83% of intraocular samples registered anti-Leptospira antibodies.
- 72% of intraocular specimens showed the presence of leptospiral DNA as per PCR tests.
- In contrast, no anti-Leptospira antibodies were detected in eyes affected by other types of uveitis or in samples collected from healthy eyes. An exception was one sample from a healthy eye which tested positive in PCR.
Research Conclusions
- The study concluded that a substantial majority of ERU cases could potentially be linked to intraocular leptospiral infection according to a significant number of intraocular specimens.
- The research recommends that for accurate diagnosis or reliable exclusion of intraocular leptospiral infection, practitioners should apply multiple testing methods.
Cite This Article
APA
Geiger T, Gerhards H, Bjelica B, Mackenthun E, Wollanke B.
(2022).
Analysis of 1840 Equine Intraocular Fluid Samples for the Presence of Anti-Leptospira Antibodies and Leptospiral DNA and the Correlation to Ophthalmologic Findings in Terms of Equine Recurrent Uveitis (ERU)-A Retrospective Study.
Vet Sci, 9(8).
https://doi.org/10.3390/vetsci9080448 Publication
Researcher Affiliations
- Clinic for Horses, University of Veterinary Medicine, 30559 Hanover, Germany.
- Equine Clinic, Clinical Department, Ludwig-Maximilians-University (LMU), 85764 Oberschleissheim, Germany.
- Department of Neurology, Hanover Medical School, 30625 Hanover, Germany.
- Equine Clinic at the Racetrack, An der Rennbahn 16, 76473 Iffezheim, Germany.
- Equine Clinic, Clinical Department, Ludwig-Maximilians-University (LMU), 85764 Oberschleissheim, Germany.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 73 references
- Wollanke B, Gerhards H, Ackermann K. Infectious uveitis in horses and new insights in its leptospiral biofilm-related pathogenesis.. Microorganisms 2022;10:387.
- Schwink KL. Equine uveitis.. Vet. Clin. N. Am. Equine Pract. 1992;8:557–574.
- Gilger BC, Hollingsworth SR. Diseases of the uvea, uveitis, and recurrent uveitis.. In: Gilger B.C., editor. Equine Ophthalmology. 3rd ed. Wiley Blackwell; Ames, IA, USA: 2017. pp. 369–415.
- Baumgart A, Gerhards H. Characteristics of uveitis in horses with leopard coat color and potential use of cyclosporine A in its therapy in Germany.. Pferdeheilkunde 2014;30:626–632.
- Sandmeyer LS, Bauer BS, Feng CX, Grahn BH. Equine recurrent uveitis in western Canadian prairie provinces: A retrospective study (2002–2015). Can. Vet. J. 2017;58:717–722.
- Grahn BH, Cullen CL. Equine phacoclastic uveitis: The clinical manifestations, light microscopic findings, and therapy of 7 cases.. Can. Vet. J. 2000;41:376–382.
- Pinto NI, McMullen RJ Jr, Linder KE, Cullen JM, Gilger BC. Clinical, histopathological and immunohistochemical characterization of a novel equine ocular disorder: Heterochromic iridocyclitis with secondary keratitis in adult horses.. Vet. Ophthalmol. 2015;18:443–456.
- Davidson HJ, Blanchard GL, Wheeler CA, Render JA. Anterior uveal melanoma, with secondary keratitis, cataract, and glaucoma, in a horse.. J. Am. Vet. Med. Assoc. 1991;199:1049–1050.
- Bistner SI. Medullo-epithelioma of the iris and ciliary body in a horse.. Cornell Vet. 1974;64:588–595.
- Barnett KC. Uveitis.. In: Barnett K.C., Crispin S.M., Lavach J.D., Matthews A.G., editors. Equine Ophthalmology—An Atlas and Text. 2nd ed. Saunders; Edinburgh, UK: 2004. pp. 191–197.
- Kinde H, Mathews M, Ash L, St Leger J. Halicephalobus gingivalis (H. deletrix) infection in two horses in southern California.. J. Vet. Diagn. Investig. 2000;12:162–165.
- Wollanke B, Gerhards H, Schaffer E. Keratouveitis und Makrohaematurie bei einer Infektion mit Micronema deletrix bei einem Pferd.. Pferdeheilkunde 2000;16:23–29.
- Tarancón I, Leiva M, Jose-Cunilleras E, Ríos J, Peña T. Ophthalmologic findings associated with Rhodococcus equi bronchopneumonia in foals.. Vet. Ophthalmol. 2019;22:660–665.
- Gilger BC, Wilkie DA, Clode AB, McMullen RJ Jr, Utter ME, Komaromy AM, Brooks DE, Salmon JH. Long-term outcome after implantation of a suprachoroidal cyclosporine drug delivery device in horses with recurrent uveitis.. Vet. Ophthalmol. 2010;13:294–300.
- Launois T, González Hilarión LM, Barbe F, Leurquin C, Bihin B, Hontoir F, Dugdale A, Vandeweerd JM. Use of Intravitreal Injection of Gentamicin in 71 Horses With Equine Recurrent Uveitis.. J. Equine Vet. Sci. 2019;77:93–97.
- Kleinpeter A, Göpfert A, Köhler E, Brehm W. Intravitreal injection of low-dose gentamicin for the treatment of ERU-affected horses.. Tierarztl. Prax. Ausg. G Grosstiere Nutztiere 2019;47:25–34.
- Fischer BM, McMullen RJ Jr, Reese S, Brehm W. Intravitreal injection of low-dose gentamicin for the treatment of recurrent or persistent uveitis in horses: Preliminary results.. BMC Vet. Res. 2019;15:29.
- Pinard C, Piètrement E, Macieira S, Tremblay D. Intravitreal injections of gentamicin for the treatment of Leptospira-associated equine recurrent uveitis; Proceedings of the 36th Annual Meeting of the ACVO; Nashville, TN, USA.. 12–15 October 2005.
- Neumann M, Ohnesorge B. The intravitreal gentamicin-injection for treatment of the equine recurrent uveitis (ERU)—status quo.. Pferdeheilkd.—Equine Med. 2021;37:302–311.
- Wollanke B, Gerhards H, Brem S, Meyer P, Kopp H. Ätiologie der equinen rezidivierenden Uveitis (ERU): Autoimmunkrankheit oder intraokulare Leptospireninfektion [Etiology of equine recurrent uveitis (ERU): Autoimmune disease or intraocular leptospiral infection]. Pferdeheilkunde 2004;20:327–340.
- Ackermann K, Kenngott R, Settles M, Gerhards H, Maierl J, Wollanke B. In Vivo Biofilm Formation of Pathogenic Leptospira spp. in the Vitreous Humor of Horses with Recurrent Uveitis.. Microorganisms 2021;9:1915.
- Dwyer AE, Crockett RS, Kalsow CM. Association of leptospiral seroreactivity and breed with uveitis and blindness in horses: 372 cases (1986–1993). J. Am. Vet. Med. Assoc. 1995;207:1327–1331.
- Tóth J, Hollerieder J, Sótoni P. Augenheilkunde beim Pferd—Lehrbuch und Atlas.. Schattauer GmbH; Stuttgart, Germany: 2010.
- Szemes P, Gerhards H. Study on the prevalence of equine recurrent uveitis in the Cologne-Bonn area.. Prakt. Tierarzt. 2000;81:408–420.
- Alexander CS, Keller H. Ätiologie und Vorkommen der periodischen Augenentzündung des Pferdes im Raum Berlin [Etiology and occurrence of periodic eye inflammation of horses in the area of Berlin]. Tierarztl. Prax. 1990;18:623–627.
- Sandmeyer LS, Kingsley NB, Walder C, Archer S, Leis ML, Bellone RR, Bauer BS. Risk factors for equine recurrent uveitis in a population of Appaloosa horses in western Canada.. Vet. Ophthalmol. 2020;23:515–525.
- Gerhards H, Wollanke B. Surgical treatment of equine recurrent uveitis: Trans-pars-plana vitrectomy in horses.. In: Gilger B.C., editor. Equine Ophthalmology. 1st ed. Elsevier Saunders; St. Louis, MO, USA: 2005. pp. 314–319.
- Wollanke B, Gerhards H, Schinagl C. Results of 654 trans-pars plana vitrectomies of equine eyes with recurrent uveitis—follow-up until 18 years after surgery.. Pferdeheilkd.—Equine Med. 2021;37:204–214.
- Baake EI, Borstel M.v., Rohn K, Boeve MH, Ohnesorge B. Long-term ophthalmologic examinations of eyes with equine recurrent uveitis after pars plana vitrectomy.. Pferdeheilkd.—Equine Med. 2019;35:220–233.
- Von Borstel M, Von Oppen T, Glitz F, Fruhauf B, Deegen E, Boeve M, Ohnesorge B. Long-term results of pars-plana (double-port) vitrectomy in equine recurrent uveitis.. Pferdeheilkunde 2005;21:13–18.
- Frühauf B, Ohnesorge B, Deegen E, Boevé M. Surgical management of equine recurrent uveitis with single port pars plana vitrectomy.. Vet. Ophthalmol. 1998;1:137–151.
- Baake EI, von Borstel M, Rohn K, Ohnesorge B. Detection of intraocular leptospiral DNA, antibodies and Leptospira spp. in horses with equine recurrent uveitis in different laboratories.. Pferdeheilkunde 2016;32:346–356.
- Von Borstel MV, Oey L, Strutzberg-Minder K, Boeve MH, Ohnesorge B. Direct and indirect detection of leptospires in vitreal samples of horses with ERU.. Pferdeheilkunde 2010;26:219–225.
- Toemoerdy E, Haessig M, Spiess BM. The outcome of pars plana vitrectomy in horses with equine recurrent uveitis with regard to the presence or absence of intravitreal antibodies against various serovars of Leptospira interrogans.. Pferdeheilkunde 2010;26:251–254.
- Dorrego-Keiter E, Tóth J, Dikker L, Sielhorst J, Schusser GF. Detection of leptospira by culture of vitreous humor and detection of antibodies against leptospira in vitreous humor and serum of 225 horses with equine recurrent uveitis.. Berl. Munch. Tierarztl. Wochenschr. 2016;129:209–215.
- Voelter K, Vial Z, Pot SA, Spiess BM. Leptospiral antibody prevalence and surgical treatment outcome in horses with Equine Recurrent Uveitis (ERU) in Switzerland.. Vet. Ophthalmol. 2020;23:648–658.
- Wollanke B, Rohrbach BW, Gerhards H. Serum and vitreous humor antibody titers in and isolation of Leptospira interrogans from horses with recurrent uveitis.. J. Am. Vet. Med. Assoc. 2001;219:795–800.
- Geiger T, Gerhards H, Wollanke B. Detection of Anti-LipL32 Antibodies in Serum Samples from Horses with Chronic Intraocular Infection with Leptospira spp.. Pathogens 2021;10:1325.
- Loibl JK, Gerhards H, Brem S, Wollanke B. Improving the laboratory diagnosis of leptospiral uveitis in horses by using an indirect ELISA for the detection of antibodies against Leptospira spp. in intraocular samples.. Pferdeheilkunde—Equine Med. 2018;34:267–277.
- Gesell S. Doctoral Thesis. Ludwig-Maximilians-University (LMU); Munich, Germany: 2004. [(accessed on 25 June 2022)]. [Is there an Asymptomatic Intraocular Leptospiral Infection in Horses?] Gibt es eine Asymptomatische Intraokulare Leptospireninfektion beim Pferd? Available online: https://edoc.ub.uni-muenchen.de/2527/1/Gesell_Stefan.pdf.. .
- Kettner H. Doctoral Thesis. Ludwig-Maximilians-University; Munich, Germany: 1997. Untersuchungen zur klinischen Epizootiologie und Diagnostik der Leptospireninfektion beim Pferd. [Studies On the Clinical Epizootiology and Diagnosis of Leptospiral Infection in the Horse]. .
- Richter K, Lange S. Methods for evaluating diagnosis.. Internist. 1997;38:325–336.
- Landis JR, Koch GG. The measurement of observer agreement for categorical data.. Biometrics 1977;33:159–174.
- Gsell O, Rehsteiner K, Verrey F. Iridocyclitis als Spätfolge von Leptospirosis Pomona (Schweinehüterkrankheit). Agglutinin- und Lymphozytose-Befund im Kammerwasser [Iridocyclitis as a late sequela of Leptospirosis Pomona (porter’s disease): Agglutinin and lymphocytosis in the aqueous humor]. Ophthalmologica 1946;112:320–334.
- Hartwigk H, Stoebbe E. Kultureller Nachweis von Leptospiren bei Hund und Pferd.. Berl. Munch. Tierarztl. Wschr. 1952;65:212–214.
- Kemenes F, Surján J, Vizy L. Leptospira as the cause of periodic ophthalmia in horses.. Magyar Allatorvosok Lapja 1960;15:253–257.
- Williams RD, Morter RL, Freeman MJ, Lavignette AM. Experimental chronic uveitis. Ophthalmic signs following equine leptospirosis.. Investig. Ophthalmol. 1971;10:948–954.
- Gelatt KN, Peiffer RL Jr, Gwin RM, Williams LW. The status of equine ophthalmology.. J. Equine Med. Surg. 1977;1:13–19.
- Goldmann H, Witmer R. Antibodies in the aqueous humor.. Ophthalmologica 1954;127:323–330.
- Witmer RH. Ätiologische Diagnostik der Uveitis. I. Klinische und experimentelle Ergebnisse an Mensch und Tier [Etiological diagnosis of uveitis. I. Clinical and experimental results in man and animal]. Albrecht Von Graefes Arch. Ophthalmol. 1955;156:235–260.
- Zwierzchowski J. Klinik und Therapie der Leptospirosen der Haus- und Nutztiere.. In: Kathe J., Mochmann H., editors. Leptospiren und Leptospirosen. Volume I. Gustav Fischer Verlag; Jena, Germany: 1967. pp. 79–137.
- Witmer R. Clinical implications of aqueous humor studies in uveitis.. Am. J. Ophthalmol. 1978;86:39–44.
- Remky H, Kuchle HJ, Vollberchtshausen R. Quantitative serological studies in suspected toxoplasmosis of the eye.. Klin. Monatsbl. Augenheilkd. Augenarztl. Fortbild. 1957;130:794–800.
- Dussaix E, Cerqueti PM, Pontet F, Bloch-Michel E. New approaches to the detection of locally produced antiviral antibodies in the aqueous of patients with endogenous uveitis.. Ophthalmologica 1987;194:145–149.
- De Visser L. Proefschrift. Utrecht University; Utrecht, The Netherlands: 2009. [(accessed on 20 August 2022)]. Infectious Uveitis—New Developments in Etiology and Pathogenesis, Chapter 1: Etiology and Diagnosis of Infectious Uveitis. Intraocular Fluid Analysis. Available online: https://dspace.library.uu.nl/handle/1874/36951.. .
- Pleyer U, Ruokonen P. Aqueous humor analysis: A diagnostic tool in intraocular inflammation.. Klin. Monbl. Augenheilkd. 2010;227:953–960.
- de Groot-Mijnes JD, de Visser L, Zuurveen S, Martinus RA, Völker R, ten Dam-van Loon NH, de Boer JH, Postma G, de Groot RJ, van Loon AM. Identification of new pathogens in the intraocular fluid of patients with uveitis.. Am. J. Ophthalmol. 2010;150:628–636.
- Rothova A, de Boer JH, Ten Dam-van Loon NH, Postma G, de Visser L, Zuurveen SJ, Schuller M, Weersink AJ, van Loon AM, de Groot-Mijnes JD. Usefulness of aqueous humor analysis for the diagnosis of posterior uveitis.. Ophthalmology 2008;115:306–311.
- De Groot-Mijnes JD, De Visser L, Rothova A, Schuller M, Van Loon AM, Weersink AJ. Rubella virus is associated with fuchs heterochromic iridocyclitis.. Am. J. Ophthalmol. 2006;141:212–214.
- Robert-Gangneux F, Binisti P, Antonetti D, Brezin A, Yera H, Dupouy-Camet J. Usefulness of immunoblotting and Goldmann-Witmer coefficient for biological diagnosis of toxoplasmic retinochoroiditis.. Eur. J. Clin. Microbiol. Infect. Dis. 2004;23:34–38.
- De Groot-Mijnes JD, Rothova A, Van Loon AM, Schuller M, Ten Dam-Van Loon NH, De Boer JH, Schuurman R, Weersink AJ. Polymerase chain reaction and Goldmann-Witmer coefficient analysis are complimentary for the diagnosis of infectious uveitis.. Am. J. Ophthalmol. 2006;141:313–318.
- Wollanke B. Habilitation Thesis. Ludwig-Maximilians-University (LMU); Munich, Germany: 2002. Equine Recurrent Uveitis (ERU) as an Intraocular Leptospirosis.. .
- Halliwell RE, Brim TA, Hines MT, Wolf D, White FH. Studies on equine recurrent uveitis. II: The role of infection with Leptospira interrogans serovar pomona.. Curr. Eye Res. 1985;4:1033–1040.
- Gilger BC, Salmon JH, Yi NY, Barden CA, Chandler HL, Wendt JA, Colitz CM. Role of bacteria in the pathogenesis of recurrent uveitis in horses from the southeastern United States.. Am. J. Vet. Res. 2008;69:1329–1335.
- Sauvage AC, Monclin SJ, Elansary M, Hansen P, Grauwels MF. Detection of intraocular Leptospira spp. by real-time polymerase chain reaction in horses with recurrent uveitis in Belgium.. Equine Vet. J. 2019;51:299–303.
- Malalana F, Blundell RJ, Pinchbeck GL, McGowan CM. The role of Leptospira spp. in horses affected with recurrent uveitis in the UK.. Equine Vet. J. 2017;49:706–709.
- Stein-Streilein J. Mechanisms of immune privilege in the posterior eye.. Int. Rev. Immunol. 2013;32:42–56.
- Zhou R, Caspi RR. Ocular immune privilege.. F1000 Biol. Rep. 2010;2:3.
- Grisanti S. Immune privilege of the eye.. Ophthalmologe 1998;95:124–135.
- Lavach JD. Large Animal Ophthalmology.. C. W. Mosby Company; St. Louis, MO, USA: 1990. Periodic ophthalmia; pp. 162–171.
- Pearce JW, Galle LE, Kleiboeker SB, Turk JR, Schommer SK, Dubielizig RR, Mitchell WJ, Moore CP, Giuliano EA. Detection of Leptospira interrogans DNA and antigen in fixed equine eyes affected with end-stage equine recurrent uveitis.. J. Vet. Diagn. Investig. 2007;19:686–690.
- Dorrego-Keiter E, Tóth J, Dikker L, Sielhorst J, Schusser G. Long-term results of pars plana vitrectomy in relationship to leptospiral antibody detection in vitreous humor in 118 horses with equine recurrent uveitis (ERU). Pferdeheilkunde 2017;33:112–118.
- Thibeaux R, Soupé-Gilbert ME, Kainiu M, Girault D, Bierque E, Fernandes J, Bähre H, Douyère A, Eskenazi N, Vinh J. The zoonotic pathogen Leptospira interrogans mitigates environmental stress through cyclic-di-GMP-controlled biofilm production.. NPJ Biofilms Microbiomes 2020;6:24.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists