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Acute syphilitic retinochoroiditis

, : Acute syphilitic retinochoroiditis. Rinsho Ganka 43(1): 13-19

We diagnosed three cases as acute syphilitic retinochoroiditis. All the 3 cases were characterized by unilateral involvement, acute onset and similarity in clinical manifestations. The visual acuity was severely impaired in the affected eyes. By funduscopy, we observed oval-shaped retinochoroidal edema and opacity ranging from 4 to 7 disc diameters across. The fundus lesion was well demarcated and was yellowish-white in color. Fluorescein fundus angiography indicated the initial lesion to be located at the level of retinal pigment epithelium. All the 3 cases responded promptly and favorably to systemic ampicillin therapy.


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