Syphilitic Uveitis
A 64-year-old male presented to the VA Eye Clinic with painless vision loss in the right eye. He was found to have vitreous hemorrhage, thought to be secondary to a hemorrhagic PVD, which was observed. Over several weeks, the patient’s vision worsened and his vitreous became more opacified. B-scan ultrasound appeared to show a retinal detachment with an inferior retinal break. Scleral buckle and vitrectomy were performed, which revealed dense vitritis with vitreous membranes, vasculitis, and pre-retinal exudates. Serologic workup was positive for syphilis. The patient was treated IV penicillin for neurosyphilis.
Presentation Date: 01/28/2021
Issue Date: 04/08/2022
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Include in Catalogue?: No
Presenter(s): Joshua Uhr, MD
Faculty Discussant(s): Ninel Z. Gregori, MD