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Debut with an anterior ischemic optic neuropathy in a patient with neurosyphilis

Poster Details

First Author: A.I.Pastor Vivas SPAIN

Co Author(s):    F. GarcĂ­a-Franco Zuniga                  0   0 0   0 0   0 0   0 0

Abstract Details


We report the case of a 61 years white male who presented to the emergency department by miodesopias left eye a few hours of evolution.


His visual acuity was 1/1 in both eyes and he had a relative afferent pupillary defect and optic disc edema with vitreous hemorrhage in his left eye .


During the admission of the patient, positive values for RPR and TPHA are discovered, and the lumbar puncture positive VDRL titers was observed. With all these data, neurosyphilis is diagnosed and treatment is initiated with penicillin and prednisone .


After three months of starting treatment papilloedema and vitreous hemorrhages were resolved , visual acuity was 1/1 , persisting defects of the visual field , but with signs of improvement in it.


Since the last decade of the twentieth century a considerable increase in cases of ocular involvement by syphilis closely with HIV infection is observed. The eye clinic is very varied , being able to affect any part of the eye. Thus, in a case of unusual ocular inflammation, in no response to treatment or in risk sexual contact , we will consider the diagnosis of syphilis, always performing HIV screening .

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