Search results (33 results)

  • Acute Syphilitic Posterior Placoid Chorioretinitis (ASPPC)

    May 12 2021 by Joseph D Boss, MD

    Ultra-widefield fundus photograph of a 36-year-old male with acute syphilitic posterior placoid chorioretinitis. Subsequent testing reviewed a positive RPR 1:256 and positive syphilis antibody.

    Photographer: Joseph Boss, MD; Retina Specialists of Michigan

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilitis uveitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    May 4 2021 by Rafael Reis Pereira, MD

    A 31-year-old patient with a complaint of photophobia and low visual acuity OD in the previous three weeks. BCVA was 20/60 and 20/20 The fundus examination revealed a placoid white lesion in the posterior pole and vitreous cells in the right eye. The left eye was unremarkable. Fluorescein angiography reveals hyperfluorescent plaque with distinctive “leopard spots” hypofluorescence.

    Imaging device: Opto California

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis with Papillitis

    Mar 30 2021 by Tanya Jain

    A 41-year-old homosexual male patient presented with placoid chorioretinitis and was diagnosed with acute syphilitic posterior placoid chorioretinitis, neurosyphilis and HIV disease. The patient was started with HAART and intravenous antibiotics.

    Photographer: Tanya Jain

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, choroiditis, papillitis

  • Palms of Patient with Placoid Lesions in Posterior Segment

    Dec 20 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), Plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, Pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was trace vitreous cell OS, mild disc edema, and a large, granular placoid area nasally that appeared to be granulated. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand (See Image), and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Imaging device: Optos CA

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was a trace vitreous cell OS with a large, granular placoid lesion nasally. The OCT (see above) shows mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Imaging device: Zeiss Cirrus

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was a trace vitreous cell OS with a large, granular placoid lesion nasally. The OCT via the lesion (see above) shows nodular areas in the RPE and some overlying disruption of EZ and outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Imaging device: Zeiss Cirrus

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was trace vitreous cell OS, mild disc edema, and a large, granular placoid area nasally that appeared to be granulated. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated (See Image). OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Photographer: Ashley Seiger

    Imaging device: Optos CA

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was trace vitreous cell OS, mild disc edema, and a large, granular placoid area nasally that appeared to be granulated. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated (See Image). OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Photographer: Ashley Seiger

    Imaging device: Optos CA

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis Placoid Initial Image OS

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was trace vitreous cell OS, mild disc edema, and a large, granular placoid area nasally that appeared to be granulated (See Image). The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started).... She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Imaging device: Optos CA

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), Plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery, and two possible smaller spots SN (See Photo above). There was a trace vitreous cell OS with a large, granular placoid lesion nasally. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer.

    Imaging device: Optos CA

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Posterior Placoid Chorioretinopathy

    Dec 19 2020 by John S. King, MD

    44-year-old white female seen over the weekend complaining of a "spot" in her vision centrally OD for three days. She was referred over by another eye doctor who was concerned about a possible retinal detachment vs ARN in that eye. Her past medical history includes adrenal insufficiency for which she takes a low dose of hydrocortisone, thyroxine (post thyroidectomy), plaquenil (inflammatory arthritis). She is divorced with one partner and denies any IVDU. Va 20/200 OD and 20/20 OS, IOP 12 OU, Pupils mydriatic post gtts (light desaturation OD). There was 1+ A/C cell OD, O/W unremarkable anterior segment OU; in the posterior segment OD there was 1+ vitritis with a diffusely swollen optic disc and a large yellowish placoid lesion in the macula with yellowish border and extended out past the arcades inferiorly, as well as another lesion smaller in the IN periphery. There was trace vitreous cell OS, mild disc edema, and a large, granular placoid area nasally that appeared to be granulated. The OCT showed mild subfoveal fluid with nodular areas in the RPE and some overlying irregular architecture of the outer retina. Syphilis was a concern at this point. She denied any hand or foot rash, and said that she was recently working on the house, and her hands were dried out. There did appear to be a rash on the hand, and later learned that she had a rash on the soles of her feet. She was sent to ED for a work-up and her syphilis IgG was positive and VDRL 1:128, and negative for HIV. She was started on a course IV Penicillin (40mg PO steroid two days after tx started). She has responded well. A few days after treatment her visual acuity has improved to 20/60 OD; there was no anterior segment inflammation OU, and decreased vitreous cell OU. Disc edema was improved. The large placoid lesion in the macula of the right eye was slightly enlarged, but more granular in appearance without a distinct yellowish border, and the smaller lesions SN had dissipated. OCT showed resolution of the subfoveal fluid and an improved appearance of the outer retina and RPE layer (See Image).

    Imaging device: Zeiss Cirrus

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Nov 22 2020 by Shawn Sell

    58-year-old homeless male presenting with 2 weeks of bilateral eye redness and photosensitivity found to have panuveitis with a positive VDRL CSF and RPR titer of 1:512 with acute syphilitic posterior placoid chorioretinitis.

    Photographer: Eastern Virginia Medical School

    Imaging device: Optos

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, neurosyphilis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Nov 22 2020 by Shawn Sell

    58-year-old homeless male presenting with 2 weeks of bilateral eye redness and photosensitivity found to have panuveitis with a positive VDRL CSF and RPR titer of 1:512 with acute syphilitic posterior placoid chorioretinitis.

    Photographer: Eastern Virginia Medical School

    Imaging device: Optos

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Syphilitic Chorioretinitis

    Oct 2 2020 by David L Kilpatrick, MD

    22-year-old female presented with painless blurry vision OD > OS for one week. On exam, she exhibited moderate vitritis, papillitis and broad placoid chorioretinitis OD and multifocal placoid peripheral chorioretinitis OS (without vitritis or papillitis). The anterior segment was unremarkable OU. Serum RPR and confirmatory treponemal Ab were both positive. Neuroimaging and CSF studies were unremarkable. A 2 week course of IV penicillin was initiated. The placoid lesions had resolved five days after beginning treatment.

    Photographer: Mississippi Retina Associates

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis Post TX OCT

    Sep 1 2017 by Annal D Meleth, MD, MS

    Syphilis post tx OCT

    Photographer: Kenneth Thompson

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis Pre Treatment OCT

    Sep 1 2017 by Annal D Meleth, MD, MS

    Syphilis pre treatment OCT.

    Photographer: Kenneth Thompson

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis Late ICG

    Sep 1 2017 by Annal D Meleth, MD, MS

    Syphilis late ICG.

    Photographer: Kenneth Thompson

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis Late FA

    Sep 1 2017 by Annal D Meleth, MD, MS

    Syphilis late FA.

    Photographer: Kenneth Thompson

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Syphilis CR

    Sep 1 2017 by Annal D Meleth, MD, MS

    Syphilis CR

    Photographer: Kenneth Thompson

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66-year-old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo

    Imaging device: Intravenous Fluorescein angiography

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66-year-old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo, UNIFESP

    Imaging device: Intravenous Fluorescein angiography

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66-year-old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo, UNIFESP

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66-year-old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo, UNIFESP

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66 - year -old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo, UNIFESP

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis

  • Acute Syphilitic Posterior Placoid Chorioretinitis

    Sep 3 2016 by ADRIANO FERREIRA

    66-year-old woman with acute visual acuity loss.

    Photographer: Claudio Zett Lobo, UNIFESP

    Condition/keywords: acute syphilitic posterior placoid chorioretinitis