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. is known as the "great masquerader" for its many presentations and ocular findings in patients who are infected and develop secondary and tertiary stage of syphilis. Syphilitic ocular manifestations include uveitis, chorioretinitis, retinitis, vasculitis, vitritis, and panuveitis all with or without decreased visual acuity.

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Purpose: The clinical findings and outcomes of 12 cases of luetic uveitis are reported.

Methods: Review of clinical records.

Results: Patients included 10 men and 2 women; 7 were homosexual, 9 HIV-positive.

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Introduction: Cogan's Syndrome is typically characterised by a non syphilitic interstitial keratitis (IK), with or without conjunctivitis, iritis or subconjunctival bleeding and progressive sensorineural hearing loss within two years of ocular signs. Atypical ocular manifestations include episcleritis, scleritis, posterior scleritis, retinal artery occlusion, choroiditis, retinal vasculitis, and optic disc oedema. We report a case of Cogan's syndrome in with recurrent cystoid macular oedema was the main feature.

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Background: Syphilis has distinctly increased in the last decades. It is necessary to know the different eye changes in syphilis.

Patients: In four patients, between 34 and 71 years of age, typical as well as unusual syphilitic eye changes were found.

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Ocular manifestations of syphilis.

J Am Optom Assoc

June 1989

Optometry Service, Veterans Administration, Boston, MA 02108.

Since the mid-1970s, the number of new cases of infectious syphilis has begun to increase. Ocular manifestations of secondary and late syphilis occur. The optometric role in the management of infectious syphilis is one of detection, consultation with internists and neurologists for systemic treatment, topical treatment of anterior uveitis, and monitoring for recurrence of disease.

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