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Diffuse Phlebitis in Patients with Syphilitic Outer Retinopathy.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2021 Nov 17; Vol. 29 (7-8), pp. 1332-1337. Date of Electronic Publication: 2020 May 14. - Publication Year :
- 2021
-
Abstract
- Purpose : To report two cases of syphilitic outer retinopathy that showed diffuse phlebitis on fluorescein angiography (FA). Methods : Retrospective chart review. Results : The two patients had presentation similar to acute zonal occult outer retinopathy (AZOOR), including hyperautofluorescence on fundus autofluorescence and ellipsoid zone disruption on optical coherence tomography. The main difference from AZOOR was the finding of diffuse phlebitis on FA. Both patients recovered well after antibiotic and steroid treatment. Conclusion : FA is especially important for differentiating syphilitic outer retinopathy from AZOOR. Timely diagnosis and treatment with penicillin and cautious use of steroid usually lead to favorable prognosis.
- Subjects :
- Adult
Anti-Bacterial Agents therapeutic use
Ceftriaxone therapeutic use
Doxycycline therapeutic use
Electroretinography
Eye Infections, Bacterial drug therapy
Eye Infections, Bacterial microbiology
Female
Fluorescein Angiography
Glucocorticoids therapeutic use
Humans
Male
Middle Aged
Phlebitis drug therapy
Phlebitis microbiology
Prednisolone therapeutic use
Retrospective Studies
Scotoma drug therapy
Scotoma microbiology
Syphilis drug therapy
Syphilis microbiology
Tomography, Optical Coherence
Visual Acuity physiology
Visual Field Tests
Visual Fields physiology
White Dot Syndromes drug therapy
White Dot Syndromes microbiology
Eye Infections, Bacterial diagnosis
Phlebitis diagnosis
Retinal Vein pathology
Scotoma diagnosis
Syphilis diagnosis
White Dot Syndromes diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 29
- Issue :
- 7-8
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 32406792
- Full Text :
- https://doi.org/10.1080/09273948.2020.1746354