Reversible Choriocapillaris Flow Voids in Acute Syphilitic Posterior Placoid Chorioretinitis.

Mikowski, Mia; Evans, Teodoro; Wu, Lihteh

Mikowski, Mia; Evans, Teodoro; Wu, Lihteh.

Afiliação

Mikowski M; Asociados de Macula, Vitreo y Retina de Costa Rica, San José, Costa Rica.
Evans T; Vitreoretinal Department, Clinica 2020, San José, Costa Rica.
Wu L; Asociados de Macula, Vitreo y Retina de Costa Rica, San José, Costa Rica.

Ocul Immunol Inflamm ; 30(7-8): 1964-1969, 2022.

Article em En | MEDLINE | ID: mdl-33998963

RESUMO

PURPOSE: To report two cases of acute syphilitic posterior placoid chorioretinitis (ASPPC) with choriocapillaris flow voids that partially resolved with systemic antibiotic treatment. METHODS: Observational case report with multimodal imaging. RESULTS: Two young healthy men suffered an acute monocular loss of vision. Spectral domain optical coherence tomography (SD-OCT) and OCT angiography (OCT-A) revealed outer retinitis with loss of the ellipsoid layer and choriocapillaris flow voids. Systemic work-up revealed syphilis. Upon systemic treatment with antibiotics, the patients recovered their vision and the OCT and OCT-A abnormalities partially resolved. CONCLUSIONS: Transient choriocapillaris flow voids characterize ASPPC and may be responsible for the visual loss seen in these patients.

Palavras-chave

OCT-A; Syphilis; acute syphilitic posterior placoid chorioretinitis; choriocapillaris flow voids; syphilitic outer retinitis; uveitis

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Ocul Immunol Inflamm Assunto da revista: ALERGIA E IMUNOLOGIA / OFTALMOLOGIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Costa Rica País de publicação: Reino Unido

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