Syphilitic chorioretinitis mimicking an anterior chiasmal syndrome.
OBJECTIVE
To report a case of syphilitic chorioretinitis mimicking an anterior chiasmal syndrome.


METHODS
Observational case report.


RESULTS
A 74-year-old man with a remote history of syphilitic chorioretinitis was noted to have an apparent junctional scotoma on a screening Humphrey visual field. Subsequent magnetic resonance imaging of the brain was normal, and the patient was referred for neuro-ophthalmologic evaluation. The fundus examination and a fluorescein angiogram demonstrated that the pattern of chorioretinal scarring corresponded to the visual field defects in both eyes.


CONCLUSIONS
Syphilis, the great masquerader, may cause retinal disease that mimics a neurologic visual field defect.
*Division of Ophthalmology, Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island †Section of Ophthalmology, Department of Veterans Affairs Medical Center, Providence, Rhode Island.
Marjorie A
MA
Murphy
Michele S
MS
Todman
Vijay
V
Khetpal