Search results (90 results)

Oct 16 2024 by César Adrián Gómez Valdivia, MD

Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, chorioretinitis, syphilis

Oct 20 2024 by César Adrián Gómez Valdivia, MD

Fundus autofluorescence image of an acute syphilitic posterior placoid chorioretinitis found in a HIV positive 28 YO male patient with suspected neurosyphilis. A beautiful butterfly autofluorescence pattern can be appreciated.

Photographer: @eyemissu2

Imaging device: California ICG OPTOS

Condition/keywords: acute syphilitic posterior placoid chorioretinitis

Apr 24 2022 by Aniruddha K Agarwal, MD

Green-light fundus autofluorescence (FAF) of the right eye from a 55-year-old man with risk factors for sexually trasnmitted diseases who presented to the retina clinic for a central scotoma. Funduscopy revealed a placoid lesion in the posterior pole. FAF highlights a hyperautofluorescent placoid lesion involving the macula with granular hyperfluorescence. The patient tested positive for syphilis and received intravenous penicillin treatment.

Photographer: Esther CIANCAS, MD, PhD, Gema CRESPO-RODRÍGUEZ, RN

Imaging device: Zeiss Clarus fundus camera

Condition/keywords: chorioretinitis, IUSG, syphilis, uveitis

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

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

Sep 1 2017 by Annal D Meleth, MD, MS

Syphilis CR

Photographer: Kenneth Thompson

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Aug 23 2012 by Gerardo Garcia-Aguirre, MD

Fundus photograph of a 42 year-old male with positive VDRL and FTA-ABS, with a yellowish placoid lesion in the posterior pole.

Photographer: Ricardo Montoya, Asociación para Evitar la Ceguera en México

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Apr 21 2020 by Richard M Martindale, MD

42-year-old pregnant African American with TRD and peripheral ischemia secondary to Eales disease. She was assigned this diagnosis of exclusion after a thorough work up for other identifiable causes of peripheral ischemia (e.g. sickle cell, syphilis, sarcoid, clotting disorders, SLE, TB, IP, FEVR). We elected to temporize her with PRP and Ozurdex in lieu of anti-VEGF medication given her pregnant status. Note: the Ozurdex pellet is visible in the inferior aspect of this photo.

Photographer: Retina Consultants of Alabama

Imaging device: Optos

Condition/keywords: Eales disease

Apr 2 2018 by JEFFERSON R SOUSA, Tecg.º (Biomedical Systems Technology)

Female patient, 21-years-old, with complaint of low vision in the right eye for 3 years. According to information from the patient's history, at the time she noticed the low vision, it also coincided with a picture of a strong urinary infection as well as episodes of constant tonsillitis. Yes, the patient did not seek medical attention and self-medicated with antibiotics. In ophthalmologic evaluation, as well as examinations of color retinography and ocular fundus autofluorescence, important pigmentary alterations were observed following vascular arches with pigment mobilization in osteoclasts (aspect of a unilateral pigmentary retinitis secondary to the inflammatory process). Which suggested inflammatory process sequelae. Through the laboratory tests, he had positive (+) confirmation for SYPHILIS NEURORETINOPATHY .

Photographer: JEFFERSON R SOUSA - Study Center and Ophthalmological Research Dr. Andre M V Gomes, Institute Dr. Suel Abujamra São Paulo-Brazil

Imaging device: Fundus camera Topcon TRC-50 DX, Imaginet 5.0, angle de 50 graus. Flash 36 / Mosaic with 10 images.

Condition/keywords: neurosyphilitic optic atrophy, retinitis pigmentosa, syphilis, syphilis neuroretinopathy

Oct 8 2012 by Pauline T Merrill, MD, FASRS

Left fundus photograph of a 23-year-old Hispanic male with decreased vision for 1 month, recent pain/redness both eyes. Found to have panuveitis; also rash on palms & soles. Labs positive for FTA-ABS, and CSR VDRL. Treated with IV penicillin for 14 days.

Photographer: Karen Parque, Illinois Retina Associates, Chicago, IL

Condition/keywords: panuveitis, snowballs, syphilis, vitritis

Aug 15 2013 by From the Collections of Thomas M. Aaberg, MD and Thomas M. Aaberg Jr., MD

Acute retinitis.

Condition/keywords: syphilis

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

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

Aug 23 2012 by Gerardo Garcia-Aguirre, MD

Early phase fluorescein angiogram of a 42 year-old male, showing hyperflourescence with a granular pattern in the posterior pole.

Photographer: Ricardo Montoya, Asociación para Evitar la Ceguera en México

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Aug 23 2012 by Gerardo Garcia-Aguirre, MD

Fluorescein angiogram of a 42 year-old male, showing hyperflourescence with a granular pattern in the posterior pole.

Photographer: Ricardo Montoya, Asociación para Evitar la Ceguera en México

Condition/keywords: acute syphilitic posterior placoid chorioretinitis, syphilis

Feb 20 2015 by H. Michael Lambert, MD

Interstitial keratitis in syphilis.

Condition/keywords: congenital, cornea, interstitial and deep keratitis, syphilis

Feb 20 2015 by H. Michael Lambert, MD

Color photo of chorioretinitis.

Condition/keywords: color photo, congenital, syphilis

Feb 20 2015 by H. Michael Lambert, MD

Interstitial keratitis in syphilis.

Condition/keywords: congenital, cornea, interstitial and deep keratitis, syphilis

Feb 20 2015 by H. Michael Lambert, MD

Color photo of chorioretinitis.

Condition/keywords: color photo, congenital, syphilis

Feb 20 2015 by H. Michael Lambert, MD

Interstitial keratitis in syphilis.

Condition/keywords: congenital, cornea, interstitial and deep keratitis, syphilis

Apr 26 2013 by Howard Schatz, MD

Eales b/c Behcet's syphilis.

Condition/keywords: Eales disease, syphilis

Mar 9 2023 by Sergio Ivan Escamilla

Left eye fundus photograph of 51-year-old male with peripapillary exudation due to syphilis confirmed by FTA ABS and VDRL with high nontreponemal antibody titers

Photographer: Ivan Escamilla, Hospital Central Militar, Cd. Mexico.

Imaging device: claurus 700

Condition/keywords: syphilis

Aug 2 2023 by Kamal Kishore, MD, MBBS

A 54-year-old male with treated syphilitic retinitis left eye.

Photographer: Tanya Huston, COA

Imaging device: Zeiss Clarus

Condition/keywords: syphilis

Jul 16 2015 by David Callanan, MD

Lues / syphilis / IK / spider's web.

Condition/keywords: congenital syphillis

Jul 16 2015 by David Callanan, MD

Lues / syphilis / IK / spider's web.

Condition/keywords: congenital syphillis