title: Rhegmatogenous Retinal Detachment in Patients with Acute Syphilitic Panuveitis.
abstract: OBJECTIVE
  To describe the clinical characteristics and surgical management of rhegmatogenous retinal detachment (RD) in patients with acute syphilitic panuveitis.
  
  
  METHODS
  Retrospective case series and comprehensive literature review.
  
  
  RESULTS
  Including present and previously reported cases, we identified 11 eyes in 8 patients with acute syphilitic panuveitis that developed a rhegmatogenous RD. Seven of 11 eyes (63.6%) were repaired with a combined scleral buckling, vitrectomy, and endolaser photocoagulation surgery; 1 eye (9.1%) was repaired with scleral buckling only; and 2 eyes (18.2%) with vitrectomy only. Cryotherapy was used to treat a giant retinal tear in 1 eye (9.1%). Four eyes (36.4%) redetached and 3 underwent a second vitrectomy surgery.
  
  
  CONCLUSIONS
  Although uncommon, rhegmatogenous RD can occur in patients with moderate to severe acute syphilitic panuveitis. We believe scleral buckling, vitrectomy, endolaser photocoagulation, and silicone oil tamponade give the best chance for successful retinal reattachment.
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .
authors: Sara J
authors: SJ
authors: Haug
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .
authors: Ako
authors: A
authors: Takakura
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .
authors: J Michael
authors: JM
authors: Jumper
authors: b West Coast Retina Medical Group , San Francisco , California , USA .
authors: David
authors: D
authors: Heiden
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .
authors: H Richard
authors: HR
authors: McDonald
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .
authors: Robert N
authors: RN
authors: Johnson
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .
authors: Arthur D
authors: AD
authors: Fu
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .|c Department of Vision Science , School of Optometry, University of California , Berkeley , California , USA .
authors: Brandon J
authors: BJ
authors: Lujan
authors: a Department of Ophthalmology , California Pacific Medical Center , San Francisco , California , USA .|b West Coast Retina Medical Group , San Francisco , California , USA .|d Department of Ophthalmology , Stanford University School of Medicine , Stanford , California , USA , and.|e The Francis I. Proctor Foundation, UCSF School of Medicine , San Francisco , California , USA.
authors: Emmett T
authors: ET
authors: Cunningham
mesh_terms: D000208:Acute Disease; D000328:Adult; D017679:Cryotherapy; D015818:Eye Infections, Bacterial / Q000150:complications* / Q000175:diagnosis; D015658:HIV Infections / Q000150:complications; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D015864:Panuveitis / Q000150:complications* / Q000175:diagnosis; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling; D013587:Syphilis / Q000150:complications* / Q000175:diagnosis; D014821:Vitrectomy
keywords: Giant retinal tear; lues; proliferative vitreoretinopathy; retina detachment; retinitis; syphilis; uveitis