Neß T
Klinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Deutschland.
Ophthalmologe. 2017 Apr;114(4):381-390. doi: 10.1007/s00347-017-0477-z.
Ocular syphilis is not a new issue but due to increasing rates of new cases is now a contemporary issue. The clinical features are unspecific and can be manifested as all forms of ocular inflammation. Unspecific anterior uveitis is the most frequent ocular involvement; however, typical distinctive patterns are superficial white preretinal precipitates within a panuveitis and acute syphilitic posterior placoid chorioretinitis. The diagnosis should be confirmed by serological tests. Treatment is based on parenteral administration of penicillin.
眼部梅毒并非新问题,但由于新病例数量不断增加,现已成为一个当代问题。其临床特征不具特异性,可表现为各种形式的眼部炎症。非特异性前葡萄膜炎是最常见的眼部受累情况;然而,典型的独特表现是全葡萄膜炎时出现的浅表白色视网膜前沉着物以及急性梅毒性后极部扁平状脉络膜视网膜病变。诊断应通过血清学检测来确认。治疗基于青霉素的肠胃外给药。