Sífilis ocular: Presentación de diez casos y revisión de la literatura

Abstract

Ocular manifestations in patients with syphilis may involve almost any of the structures of the eye.To describe ten new cases of syphilis with eye involvement and to briefly discuss the management and therapy of such condition.Ten cases were retrospectively studied over 13 years. Demographic factors, ophthalmologic examination, and laboratory tests were assessed.Seven of the 10 cases were male and 3 were female. The mean age of patients was 39,7 years. Disease presentation included: panuveitis (6 patients), optic neuritis (3), retinal vasculitis (1) and Argyll-Robertson pupil (1). Cerebrospinal fluid VDRL test was positive in 6 patients and 3 patients were HIV (+).Syphilis is able to display diverse ophthalmologic manifestations. Not in all the cases the CSF-VDRL test was positive. Antitreponemal therapy generates a fast and effective response in the affected patients.