Department of Ophthalmology, 29590Armed Forces Medical College, Pune, India.
Department of Ophthalmology, 214250Army College of Medical Sciences & Base Hospital, Delhi, India.
Trop Doct. 2021 Jul;51(3):444-446. doi: 10.1177/0049475521998178. Epub 2021 Mar 28.
Syphilis has a wide variety of ocular presentations such as anterior or posterior uveitis, chorioretinitis, retinal vasculitis, retinitis, perineuritis, papillitis, retrobulbar neuritis, optic atrophy and optic nerve gumma. Therefore, it is recommended to test every patient with ocular inflammation for syphilis. It is, however, a relatively rare cause of uveitis in HIV disease. A few studies suggested that HIV contributes to the ocular manifestations of syphilis and HIV co-infection in approximately 30%. Acute syphilitic posterior placoid chorioretinopathy is a rare ocular manifestation in immune-competent patients characterised by the development of a deposit in the outer retina. We describe an unusual such presentation with hypopyon.
梅毒有多种眼部表现，如前或后葡萄膜炎、脉络膜炎、视网膜血管炎、视网膜炎、神经炎、视乳头炎、球后神经炎、视神经萎缩和视神经梅毒瘤。因此，建议对每个有眼部炎症的患者进行梅毒检测。然而，在 HIV 疾病中，它是葡萄膜炎相对少见的原因。一些研究表明，HIV 约 30%的情况下有助于梅毒和 HIV 合并感染的眼部表现。急性梅毒性后发性盘状脉络膜视网膜炎是一种在免疫功能正常的患者中罕见的眼部表现，其特征是在外层视网膜形成沉积物。我们描述了一例伴有前房积脓的不寻常病例。
