Purpose: To report a case of syphilitic chorioretinitis mimicking an anterior chiasmal syndrome.
Methods: Observational case report.
Results: A 74-year-old man with a remote history of syphilitic chorioretinitis was noted to have an apparent junctional scotoma on a screening Humphrey visual field. Subsequent magnetic resonance imaging of the brain was normal, and the patient was referred for neuro-ophthalmologic evaluation. The fundus examination and a fluorescein angiogram demonstrated that the pattern of chorioretinal scarring corresponded to the visual field defects in both eyes.
Conclusion: Syphilis, the great masquerader, may cause retinal disease that mimics a neurologic visual field defect.
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http://dx.doi.org/10.1097/ICB.0b013e3182378e01 | DOI Listing |
Clin Ophthalmol
October 2024
Department of Ophthalmology, Unidade Local de Saúde de São João, Porto, Portugal.
Purpose: Syphilis is a re-emerging infectious disease with various systemic manifestations, including ocular involvement, which can lead to significant morbidity if untreated. This study aims to analyze the ocular manifestations of syphilis in patients treated at a Portuguese tertiary center over a 14-year period.
Patients And Methods: A retrospective review of patients diagnosed with syphilis who presented with ocular symptoms from 2010 to 2023 was conducted.
Cureus
August 2024
Department of Internal Medicine, Lilavati Hospital, Mumbai, IND.
A 39-year-old male patient presented with grossly reduced vision in the left eye for the past three months. Fundus evaluation revealed multiple discrete grayish-white deep chorioretinal lesions in the macular area. An optical coherence tomography (OCT) scan in the affected area was normal.
View Article and Find Full Text PDFJ Neuroophthalmol
September 2024
Department of Ophthalmology and Vision Sciences (IS, HMM, JSCX, EAM), University of Toronto, Toronto, ON, Canada; and Division of Neurology (EAM), Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada.
Background: Syphilis is a sexually or congenitally acquired infectious disease that can affect multiple organs systems, including the eye. When left undiagnosed and untreated, it can lead to significant morbidity and mortality. Syphilitic optic neuropathy can be difficult to diagnose because it can mimic many other nonsyphilitic causes of optic nerve involvement, leading to delay in treatment.
View Article and Find Full Text PDFRetin Cases Brief Rep
July 2024
Department of Ophthalmology, Hospital Universitario Antonio Pedro, Fluminense Federal University (UFF), Niteroi, RJ, Brazil.
Purpose: To report a rare case of choroidal neovascular membrane (CNV) developed three years after acquired syphilitic chorioretinitis successfully treated with intravitreal aflibercept.
Methods: Case report.
Results: A 44-year-old woman with bilateral decreased vision and a history of syphilitic chorioretinitis 3 years prior to presentation.
Cureus
May 2024
Ophthalmology, Hiroshima University, Hiroshima, JPN.
We report four cases of syphilitic uveitis with diverse clinical presentations. All patients were men who have sex with women, and were aged 19-68 years, and none were HIV-positive. All cases were bilateral.
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