June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Clinical features of syphilitic uveitis in an ophthalmologic reference center in Mexico City
Author Affiliations & Notes
  • Rosalva Yasha Bobadilla
    Uveitis and Ocular Inmunology, Hospital Conde de Valenciana, Coacalco, Mexico
  • Ricardo Blas Medina
    Uveitis and Ocular Inmunology, Hospital Conde de Valenciana, Coacalco, Mexico
  • Daniela Castro Farias
    Uveitis and Ocular Inmunology, Hospital Conde de Valenciana, Coacalco, Mexico
  • Elsa Maria Flores Reyes
    Uveitis and Ocular Inmunology, Hospital Conde de Valenciana, Coacalco, Mexico
  • Miguel Pedroza-Seres
    Uveitis and Ocular Inmunology, Hospital Conde de Valenciana, Coacalco, Mexico
  • Footnotes
    Commercial Relationships Rosalva Bobadilla, None; Ricardo Blas Medina, None; Daniela Castro Farias, None; Elsa Maria Flores Reyes, None; Miguel Pedroza-Seres, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 5763. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Rosalva Yasha Bobadilla, Ricardo Blas Medina, Daniela Castro Farias, Elsa Maria Flores Reyes, Miguel Pedroza-Seres; Clinical features of syphilitic uveitis in an ophthalmologic reference center in Mexico City. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):5763.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract
 
Purpose
 

To describe demographic data of patients with diagnosis of ocular syphilis in the department of uveitis and ocular immunology at Hospital Conde de Valenciana, an ophthalmologic reference center in Mexico

 
Methods
 

we analize all the electronic records from January 2004 to November 2014, selecting those diagnosed with ocular syphilis. Epidemiological data included: age at diagnosis, gender, affected eye, follow-up period, type of uveitis, laboratory test used, treatment, visual acuity and intraocular pression in the first and last visit, and ocular complications.

 
Results
 

Of the 4493 patients seen in the service of uveitis and ocular immunology from January 2004 to November 2014, 50 (1.11%) cases were diagnosed with ocular syphilis. Thirty three (66 %) were female and 17 (34%) men. The average age was 56.34 years (16- 87 years). Of the 50 patients, 7 (14 %) had disease only in the right eye, 12 (24 %) in the left eye, and 31 (62 %) had both eyes afected. The clinical manifestations were: scleritis in 2 (4%) patients, anterior uveitis in 3 (6%) patients, intermediate uveitis in 1 (2%) patient, posterior uveitis 0 (0 %) patients and panuveitis in 44 (88%) patients. The initial and final visual acuity was classified into 5 groups, excellent, good, regular, bad and no functional. With T -student test 0.603.The intraocular pressure of 82 eyes was averaged in 14.47 mmHg, and the averaged of the last visit was 13.66 mm Hg, all by Goldman tonometry .Treatments applied were: benzathine penicillin intravenously in 9 (18%) patients, intramuscular benzathine penicillin in 33 (66%) patients, erythromycin in 6 (12%) patients and 2 (4%) that did not returned. Within the complications more frequently reported were: glaucoma in 13 (26%) patients, cataract in 12 (24%), macular edema in 5 (10%) patients, ocular hypertension in 2 (4%), macular hole in 2 (4%), band keratopathy in 2 (4%), tractional retinal detachment in 2 (4%) patients.

 
Conclusions
 

Uveitis caused by syphilis is a pathology observed less frequently due to public health programs, however when present, clinical suspicion, appropriate interrogatory and laboratory test are important to make the diagnosis, specially in patients without previous systemic diagnosis that have bilateral panuveitis.

 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×