Ouano D P, Brucker A J, Saran B R
Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania.
Am J Ophthalmol. 1995 Mar;119(3):372-4. doi: 10.1016/s0002-9394(14)71187-0.
PURPOSE/METHODS: Acute syphilitic posterior placoid chorioretinitis causes visual loss in patients with secondary syphilis. The condition is characterized by vitreitis and large, yellow placoid lesions in the macula. We examined a patient with syphilis who had a serious retinal detachment and an exudative fluid meniscus (pseudohypopyon).
RESULTS/CONCLUSIONS: Visual recovery and complete resolution of the chorioretinal lesion occurred after intravenous penicillin therapy. Secondary syphilis should be considered in the differential diagnosis of any patient with a macular pseudohypopyon.
目的/方法：急性梅毒性后极部扁平状脉络膜视网膜炎可导致二期梅毒患者视力丧失。该病的特征为玻璃体炎以及黄斑区出现大的黄色扁平状病灶。我们检查了一名患有梅毒的患者，其出现了严重的视网膜脱离和渗出性液平面（假前房积脓）。
结果/结论：静脉注射青霉素治疗后，视力恢复，脉络膜视网膜病变完全消退。在对任何有黄斑区假前房积脓的患者进行鉴别诊断时，都应考虑二期梅毒。
