Surgical repair of an inflammatory macular hole associated with ocular syphilis

PurposeTo describe a case of an inflammatory macular hole associated with ocular syphilis and its successful surgical closure. ObservationsA 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 inflam...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2022, Vol.26, p.101530-101530
Main Authors: Niemeyer, Katherine M, Chen, Xuejing
Format: Report
Language:English
Online Access:Get full text
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Summary:PurposeTo describe a case of an inflammatory macular hole associated with ocular syphilis and its successful surgical closure. ObservationsA 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 importanceOcular 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.
ISSN:2451-9936
DOI:10.1016/j.ajoc.2022.101530