Department of Ophthalmology, Changhua Christian Hospital, Taiwan, Republic of China.
College of Medicine, Chung-Shan Medical University, Taiwan.
Ocul Immunol Inflamm. 2021 Nov 17;29(7-8):1332-1337. doi: 10.1080/09273948.2020.1746354. Epub 2020 May 14.
: To report two cases of syphilitic outer retinopathy that showed diffuse phlebitis on fluorescein angiography (FA).: Retrospective chart review.: The two patients had presentation similar to acute zonal occult outer retinopathy (AZOOR), including hyperautofluorescence on fundus autofluorescence and ellipsoid zone disruption on optical coherence tomography. The main difference from AZOOR was the finding of diffuse phlebitis on FA. Both patients recovered well after antibiotic and steroid treatment.: FA is especially important for differentiating syphilitic outer retinopathy from AZOOR. Timely diagnosis and treatment with penicillin and cautious use of steroid usually lead to favorable prognosis.
报告 2 例梅毒性视网膜病变，其荧光素眼底血管造影（FA）显示弥漫性静脉炎。回顾性图表分析。这两例患者的表现类似于急性区域性隐匿性外层视网膜病变（AZOOR），包括眼底自发荧光的高自发荧光和光相干断层扫描的椭圆体带中断。与 AZOOR 的主要区别是 FA 上发现弥漫性静脉炎。两例患者经抗生素和类固醇治疗后均恢复良好。FA 对于鉴别梅毒性视网膜病变与 AZOOR 非常重要。及时诊断和青霉素治疗，谨慎使用类固醇通常可获得良好的预后。
