title: [Ocular syphilis: 9 cases].
abstract: Syphilis is a disease with ocular involvement may be opening and cover all ocular structures. The objective of the study was to retrospectively identify and describe all cases of ocular syphilis diagnosed in the ophthalmology department of Besançon University Hospital from March 2004 to April 2014. Between March 2004 and April 2014, we diagnosed and monitored 9 male patients (13 eyes) with ocular syphilis (1 interstitial keratitis, chorioretinitis associated with a 1 hyalite, 3 panuvéites, 1 chorioretinitis after placoid, 3 bilateral papillary edema). Patients had a mean age of 52.6 years (32-77 years) at diagnosis and the inaugural symptoms were in 100% of cases decreased visual acuity. The follow-up period ranged from 1 month to 5 years. The curative treatment included intravenous antibiotics penicillin G for 3 weeks. All patients had an improvement in their AV (AV initial range "counting fingers" and 0.6 versus AV final between 0.5 and 1 in decimal scale). Syphilis is a disease currently on the rise. It must be systematically sought before any inflammatory disease of the eye or papilledema.
authors.affiliation: Service d'ophtalmologie, CHU Jean-Minjoz, 2, boulevard Fleming, 25030 Besançon, France. Electronic address: asophiegauthier@yahoo.fr.
authors.forename: A S
authors.initials: AS
authors.lastname: Gauthier
authors.affiliation: Service d'ophtalmologie, CHU Jean-Minjoz, 2, boulevard Fleming, 25030 Besançon, France.
authors.forename: S
authors.initials: S
authors.lastname: Tea
authors.affiliation: Service de maladies infectieuses et tropicales, CHU Jean-Minjoz, 2, boulevard Fleming 25030 Besançon, France.
authors.forename: L
authors.initials: L
authors.lastname: Hustache Mathieu
authors.affiliation: Service d'ophtalmologie, CHU Jean-Minjoz, 2, boulevard Fleming, 25030 Besançon, France.
authors.forename: C
authors.initials: C
authors.lastname: Schwartz
authors.affiliation: Service d'ophtalmologie, CHU Jean-Minjoz, 2, boulevard Fleming, 25030 Besançon, France.
authors.forename: M
authors.initials: M
authors.lastname: Saleh
authors.affiliation: Service d'ophtalmologie, CHU Jean-Minjoz, 2, boulevard Fleming, 25030 Besançon, France.
authors.forename: B
authors.initials: B
authors.lastname: Delbosc
mesh_terms: D000328:Adult; D000368:Aged; D002825:Chorioretinitis / Q000382:microbiology / Q000473:pathology; D009877:Endophthalmitis / Q000382:microbiology / Q000473:pathology; D015818:Eye Infections, Bacterial / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013587:Syphilis / Q000473:pathology*; D014792:Visual Acuity
keywords: Keratitis; Kératite; Ocular syphilis; Papillary edema; Syphilis oculaire; Uveitis; Uvéite; Œdème papillaire