First Author: C.Pereira PORTUGAL
Co Author(s): M. Franco L. Colaço J. Neves S. Rodrigues F. Fraga H. Prior Filipe 0 0 0 0 0 0 0 0 0
Back to previous
To describe a case of unilateral exudative retinal detachments as presenting manifestation of syphilis infection.
Retina Department at Dr. Gama Pinto Institute of Ophthalmology, Lisbon Portugal
A previously healthy 53-year-old Caucasian male was first seen for bilateral sudden visual loss. The patient presented with a best corrected visual acuity of 10/16 for right eye (RE) and 10/50 for the left eye (LE). Ophthalmoscopy showed exudative retinal detachment involving the posterior pole in his left eye (LE). Laboratory investigations confirmed the diagnosis of syphilis infection.
After photodynamic therapy (PDT) and intravenous penicillin was found imaging resolution of all changes, keeping some post-inflammatory scarring and pigmentary changes and a visual improvement for 10/10 in RE and 10/12.5 in LE.
This case demonstrates the importance of considering syphilis as a cause of retinitis.