Association of leptospiral seroreactivity and breed with uveitis and blindness in horses: 372 cases (1986-1993).
Abstract: Recurrent uveitis, a leading cause of blindness in horses, often develops as a sequela to systemic leptospirosis. Over a 7-year period, 63 of 112 (56%) horses with uveitis were seropositive for Leptospira interrogans serovar pomona, but only 23 of 260 (9%) horses without uveitis were seropositive. Odds-ratio analysis revealed that seropositive horses were 13.2 times more likely to have uveitis than were seronegative horses. Of the 63 seropositive horses with uveitis, 59% developed blindness, compared with only 24% in the 49 seronegative horses with uveitis that lost vision in 1 or both eyes during the same period. Odds-ratio analysis revealed that seropositive horses with uveitis were 4.4 times more likely to lose vision than were seronegative horses with uveitis. Of the 112 horses with uveitis, 28 (25%) were Appaloosas, compared with only 10 of the 260 (4%) horses without uveitis (odds ratio, 8.3). In addition, 19 of the 28 (68%) Appaloosas with uveitis developed blindness, compared with only 30 of the 84 (36%) non-Appaloosas with uveitis that lost vision in 1 or both eyes (odds ratio, 3.8). This field study therefore confirmed a strong positive relationship between uveitis and leptospiral seroreactivity in horses. Furthermore, the data suggested that seropositive horses with uveitis were at increased risk of losing vision, compared with that in seronegative horses with uveitis, and that Appaloosas were at increased risk of developing uveitis and associated blindness, compared with that in non-Appaloosas.
Publication Date: 1995-11-15 PubMed ID: 7591929 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
- Research Support
- Non-U.S. Gov't
- Research Support
- U.S. Gov't
- P.H.S.
Summary
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The research article examines the correlation between leptospiral seroreactivity, breed of horses, and the development of uveitis and blindness. The study found a strong link between a positive reaction for Leptospira interrogans serovar pomona, uveitis, and related blindness, especially among Appaloosa horses.
Study Design and Findings
- The researchers conducted a 7-year study on 372 horses, with and without uveitis, a leading cause of blindness in horses commonly subsequent to systemic leptospirosis.
- 56% of the horses with uveitis had positive seroreaction for Leptospira interrogans serovar pomona, while only 9% of the horses without uveitis were seropositive.
- Using odds-ratio analysis, the researchers found that seropositive horses were 13.2 times more likely to have uveitis versus seronegative horses.
- About 59% of seropositive horses with uveitis developed blindness, contrasted to only 24% of seronegative horses with uveitis that lost vision.
- Consequently, seropositive horses with uveitis were 4.4 times more likely to lose vision than seronegative horses with the same condition.
Breed-specific Findings
- The study also assessed the correlation of uveitis with specific horse breeds, particularly the Appaloosas.
- Out of the total horses with uveitis, 25% were Appaloosas, whereas only 4% of the horses without uveitis were Appaloosas.
- This resulted in an odds ratio of 8.3, implying that the Appaloosa breed was at a significantly higher risk of contracting uveitis.
- Further, about 68% of Appaloosas with uveitis developed blindness, compared to just 36% non-Appaloosas with uveitis.
- This gave an odds ratio of 3.8, indicating that Appaloosas with uveitis were more prone to blindness than non-Appaloosas with the same condition.
Implications of the Study
- The study confirmed a strong positive association between uveitis and leptospiral seroreactivity in horses.
- It revealed that seropositive horses with uveitis had a higher risk of losing vision compared to seronegative horses with uveitis.
- The breed-specific findings suggest that Appaloosas are at a higher risk of developing uveitis and associated blindness compared to non-Appaloosas.
Cite This Article
APA
Dwyer AE, Crockett RS, Kalsow CM.
(1995).
Association of leptospiral seroreactivity and breed with uveitis and blindness in horses: 372 cases (1986-1993).
J Am Vet Med Assoc, 207(10), 1327-1331.
Publication
Researcher Affiliations
- Genesee Valley Equine Clinic, Scottsville, NY 14546, USA.
MeSH Terms
- Age Distribution
- Agglutination Tests / veterinary
- Animals
- Antibodies, Bacterial / blood
- Blindness / etiology
- Blindness / genetics
- Blindness / veterinary
- Breeding
- Female
- Horse Diseases / etiology
- Horse Diseases / genetics
- Horses
- Leptospira interrogans / immunology
- Leptospirosis / complications
- Leptospirosis / veterinary
- Male
- Ophthalmoscopy / veterinary
- Retrospective Studies
- Sex Distribution
- Uveitis / etiology
- Uveitis / genetics
- Uveitis / veterinary
Grant Funding
- EY 06866 / NEI NIH HHS
Citations
This article has been cited 16 times.- Kirmse L, Thieme K, Doherr MG, Eule JC. Evaluation of Laboratory Techniques for the Diagnosis of Leptospira-Associated Equine Recurrent Uveitis (ERU) With Focus on the Goldmann-Witmer Coefficient. Vet Ophthalmol 2026 Jan;29(1):e70132.
- Jost HE, Henriksen ML, Hawley J, Lappin MR. Evaluation of Leptospira species as a cause of endogenous uveitis in cats: a pilot study. J Feline Med Surg 2026 Feb;28(2):1098612X251409537.
- Kingsley NB, Sandmeyer L, Dwyer A, Langefeld CD, McMullen RJ Jr, McCue M, Lassaline M, Bellone RR. A genome-wide investigation of insidious uveitis in Appaloosa horses. BMC Genomics 2025 Oct 9;26(1):904.
- Gerras J, Young K, Roberts D, Waldman G, Salmon JH, Gilger BC. Uveitis and blindness in a closed herd of Equidae following leptospiral infection. Front Vet Sci 2024;11:1504990.
- Morén S, Kallberg M, Strom L. Equine uveitis: Outcome and adverse effects after one or two intravitreal low-dose gentamicin injections. Equine Vet J 2025 Jan;57(1):160-168.
- Geiger T, Gerhards H, Bjelica B, Mackenthun E, Wollanke B. 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 2022 Aug 21;9(8).
- Wollanke B, Gerhards H, Ackermann K. Infectious Uveitis in Horses and New Insights in Its Leptospiral Biofilm-Related Pathogenesis. Microorganisms 2022 Feb 7;10(2).
- 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 Oct 14;10(10).
- 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 Sep 9;9(9).
- Paschalis-Trela K, Cywińska A, Trela J, Czopowicz M, Kita J, Witkowski L. The prevalence of ocular diseases in polish Arabian horses. BMC Vet Res 2017 Nov 7;13(1):319.
- 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 Jul;58(7):717-722.
- 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 Nov;49(6):706-709.
- Kulbrock M, Lehner S, Metzger J, Ohnesorge B, Distl O. A genome-wide association study identifies risk loci to equine recurrent uveitis in German warmblood horses. PLoS One 2013;8(8):e71619.
- Lucchesi PM, Parma AE, Arroyo GH. Serovar distribution of a DNA sequence involved in the antigenic relationship between Leptospira and equine cornea. BMC Microbiol 2002;2:3.
- Faber NA, Crawford M, LeFebvre RB, Buyukmihci NC, Madigan JE, Willits NH. Detection of Leptospira spp. in the aqueous humor of horses with naturally acquired recurrent uveitis. J Clin Microbiol 2000 Jul;38(7):2731-3.
- Zuerner RL, Bolin CA. Differentiation of Leptospira interrogans isolates by IS1500 hybridization and PCR assays. J Clin Microbiol 1997 Oct;35(10):2612-7.
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