Syphilitic chorioretinitis mimicking an anterior chiasmal syndrome.

Retin Cases Brief Rep

*Division of Ophthalmology, Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island †Section of Ophthalmology, Department of Veterans Affairs Medical Center, Providence, Rhode Island.

Published: November 2014

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.0b013e3182378e01DOI Listing

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