Título

ACUTE SYPHILITIC POSTERIOR PLACOID CHORIORETINITIS PATIENT EVALUATED WITH MULTIMODAL RETINAL EXAMS

Introdução

Syphilis is a systemic infectious disease caused by Treponema pallidum, that may present ophthalmologic commitment in 5-8% of cases. Diagnosis is based on clinical features and serologic tests. Although cutaneous manifestations are more common, it is important to consider syphilis in inflammatory ophthalmological disease

Métodos

In this study we report a patient with ophthalmological and serologic findings compatible with Acute Syphilitic Posterior Placoid Chorioretinitis evaluated with multimodal retinal exams

Resultados

Case of a female patient with 37 years old. She came to our service with a chief complain of progressive blurred vision in both eyes for five months, with worsening in the last month. At first evaluation, she presented best corrected visual acuity of counting fingers at two meters in both eyes, intraocular pressure of 12mmHg in both eyes, normal direct and consensual pupillary reflex, without rapid pupillary afferent defect. Anterior biomicroscopy was normal, except for vitreous cells, VDRL was positive 1:32 and FTA-ABS also positive.
As proposed treatment, patient received intravenous Ceftriaxone 2g/day for two weeks. One month after treatment, visual acuity improved to 20/25 (logMAR 0.1) in right and left eye and all vitreous cells disappeared.

Conclusões

To the best of our knowledge, it is the first Syphilis Placoid Choriorretinitis report evaluated with multimodal retinal exams before and after treatment, reporting improvement in visual acuity and exams.
Our case extend the common concept that Acute Syphilitic Posterior Placoid Chorioretinitis are and exclusively RPE-photorreceptor disease, to whole retinal and also choroidal disease. In summary, we reported a case of Acute Syphilitic Posterior Placoid Chorioretinitis treated with endovenous Ceftriaxone, evaluated with multimodal retinal exams, that showed visual improvement after therapy.

Palavras Chave

Retina; Placoid; Syphilis

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