1/3. Ocular manifestations of syphilis.Since the mid-1970s, the number of new cases of infectious syphilis has begun to increase. Ocular manifestations of secondary and late syphilis occur. The optometric role in the management of infectious syphilis is one of detection, consultation with internists and neurologists for systemic treatment, topical treatment of anterior uveitis, and monitoring for recurrence of disease. This report describes an elderly patient presenting with recurrent, bilateral iritis and optic atrophy as initial clinical manifestations of syphilitic infection.- - - - - - - - - - ranking = 1keywords = syphilis (Clic here for more details about this article) |
2/3. Ocular syphilis. Acute and chronic.We describe our experience over the past 2 years with the ocular manifestations in 32 patients with acute and chronic syphilis. We urge that syphilis be considered in evaluating those patients with recurrent iritis, chorioretinitis, papillitis, optic atrophy, or abnormal pupillary findings. Specific serologic testing (FTA-ABS) must be obtained. Screening serologies (VDRL) are inadequate. We suggest that patients with evidence for CSF involvement or active ocular disease be treated by continuous intravenous infusion of 24 million units penicillin g daily for 10 days.- - - - - - - - - - ranking = 0.85714285714286keywords = syphilis (Clic here for more details about this article) |
3/3. iridocyclitis and an iris mass associated with secondary syphilis.A 34-year-old white man developed iridocyclitis and an iris mass. The iridocyclitis was preceded by a nodular rash which spared the palms and soles. An anterior segment fluorescein angiogram was performed which showed numerous permeable vessels. An ultrasound examination of the mass showed that it extended to the ciliary body. He had both a positive RPRCT and FTA-Abs. A skin biopsy was done which disclosed the nodules to be a rare form of secondary syphilis. The patient was treated with topical steroids and a cycloplegic agent, and later prednisone and intravenous penicillin, with eventual resolution of iris mass, iridocyclitis and skin nodules.- - - - - - - - - - ranking = 0.71428571428571keywords = syphilis (Clic here for more details about this article) |