Abstract
The incidence of syphilis has increased over the last decade, particularly among men who have sex with men (MSM). Ocular involvement is a potentially devastating clinical manifestation of syphilis. It is both immediately sight threatening and associated with the risk of both systemic and ocular long-term complications that may result in severe loss of function. Human immunodeficiency virus (HIV) infection appears to increase the risk of ocular syphilis. Prompt diagnosis of ocular syphilis required high index of suspicion due to the lack of pathognomonic features and its ability to occur in both immunocompetent and immunosuppressed individuals. Nonetheless, with prompt diagnosis, it is curable with a relatively short course of antibiotic treatment. This case describes a presentation of ocular syphilis in a HIV-positive MSM patient.
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