Surgical repair of an inflammatory macular hole associated with ocular syphilis

PURPOSE: To describe a case of an inflammatory macular hole associated with ocular syphilis and its successful surgical closure. OBSERVATIONS: A 55-year-old man presented with count fingers vision and was found to have unilateral ocular syphilis with panuveitis and a foveal subretinal lesion. The in...

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Detalles Bibliográficos
Autores principales: Niemeyer, Katherine M., Chen, Xuejing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9020128/
https://www.ncbi.nlm.nih.gov/pubmed/35464690
http://dx.doi.org/10.1016/j.ajoc.2022.101530
Descripción
Sumario:PURPOSE: To describe a case of an inflammatory macular hole associated with ocular syphilis and its successful surgical closure. OBSERVATIONS: A 55-year-old man presented with count fingers vision and was found to have unilateral ocular syphilis with panuveitis and a foveal subretinal lesion. The inflammation quickly resolved with treatment, but he developed a full-thickness macular hole on day 5. A pars plana vitrectomy with membrane peel and intraocular gas was performed three months later. The macular hole was successfully closed, and the patient's vision improved to 20/200 18 months after repair. Foveal outer retinal atrophy limited final vision improvement. CONCLUSIONS AND IMPORTANCE: Ocular syphilis can rarely be associated with inflammatory macular holes. Surgical intervention can offer successful anatomic results; however, final visual outcomes may be limited by retinal scarring or atrophy from the original inflammation.

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