Dr.Rwituja Thomas, R19863
Purpose:To describe clinical presentation and lab diagnosis of patients of ocular syphilis with multimodal imaging in syphilitic retinitis at tertiary eye center. Methods:A retrospective case series of 15 patients of syphilis diagnosed serologically who underwent multimodal imaging for retinitis. Clinical findings and treatment outcome were documented. Results:In 20 eyes of 15 patients, syphilitic retinitis is described with multimodal imaging (IR,AF,FFA,OCT&OCTA) features in all three forms of retinitis(punctuate inner retinitis,triangular patch of retinitis and placoid chorioretinitis). All showed improvement of uveitis with systemic penicillin. 4 needed systemic/local steroids additionally. Conclusion:Ocular syphilis is not uncommon in HIV-negative patients and can present in varied ways. Multimodal imaging helps understand disease pathology better. Treatment with systemic penicillin had favorable outcome
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