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A case of syphilitic uveitis mimicking central serous chorioretinopathy So Makino 1 , Toshikatsu Kaburaki 1 , Rie Tanaka 1 , Hisae Nakahara 1 , Mitsuko Takamoto 2 , Tatsuya Inoue 1 , Makoto Aihara 1 1Department of Ophthalmology, The University of Tokyo Graduate School of Medicine 2Department of Ophthalmology, Saitama Red Cross Hospital pp.753-760
Published Date 2019/6/15
DOI https://doi.org/10.11477/mf.1410213172
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Abstract Purpose:To report a case of syphilitic uveitis that simulated central serous chorioretinopathy.

Cese:A 56-year-old male presented with central scotoma in the right eye. He had been treated with photocoagulation for central serous chorioretinopathy in the left eye 2 years before.

Findings and Clinical Course:Best-corrected visual acuity(BCVA)was 1.2 in either eye. The right eye showed a yellowish lesion that was identified as serous retinal detachment by optical coherence tomography(OCT). Serous retinal detachment resolved 2 weeks later but BCVA decreased to 0.15. The vitreous body in the right eye showed signs of uveitis. Both eyes showed hyperemia of optic disc and retinal vasculitis. Rapid plasma reagin and Treponema pallidum hemagglutination assay were positive and were suggestive of syphilitic uveitis. He received intravenous benzylpenicillin for 2 weeks followed by peroral amoxicillin for 2 weeks. The fundus lesion in both eyes gradually disappeared. BCVA was 1.2 right and 0.8 left after 3 weeks of treatment.

Conclusion:The observed findings in the left eye appears to be acute suphilitic posterior placoid chorioretinitis(ASPPC)that simulated central serous chorioretinopathy.


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