Search results (90 results)

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

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

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

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

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

Feb 24 2015 by David Callanan, MD

Lues / syphilis / IK / spider's web.

Condition/keywords: syphilis

Feb 24 2015 by David Callanan, MD

Lues / syphilis / IK / spider's web.

Condition/keywords: syphilis

Feb 24 2015 by David Callanan, MD

Lues / syphilis / IK / spider's web.

Condition/keywords: syphilis

Feb 21 2024 by Nikhil K Bommakanti, MD

A monocular man in his sixties presented with blurred vision in the right eye for two months. Optical coherence tomography demonstrated vitreous cells and characteristic inflammatory deposits of the outer retina and retinal pigment epithelium, and laboratory testing confirmed the diagnosis of syphilis. He was admitted for intravenous penicillin and consultation with a specialist in infectious diseases.

Condition/keywords: syphilis

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

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

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

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

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

Mar 2 2015 by David Callanan, MD

Male patient, secondary syphilis with palmar and foot.

Condition/keywords: syphilis

Mar 2 2015 by David Callanan, MD

Male patient, secondary syphilis with palmar and foot.

Condition/keywords: syphilis

Mar 2 2015 by David Callanan, MD

Male patient, secondary syphilis with palmar and foot.

Condition/keywords: syphilis