Affiliation: Eye Clinic, University of Florence, AOU Careggi
A. Fundus photograph showing vast round placoid yellow zone in the posterior pole;
B. FA reveals hyperfluorescence of the optic disk with a zone of hyperfluorescence in the posterior pole (tissue staining).
C. Structural OCT shows disruption of the ellipsoid zone and hyperreflective, nodular thickening of the RPE. Hyperreflective dots representing inflammatory cells are visible in the vitreous and attached to the posterior hyaloid.
DEVICE: Multimodal imaging: fundus photograph, FA, Structural OCT
Imaging device: Color fundus photography, angle 89°, NidekView image
Imaging device: A. Color fundus photography, angle 89°, Nidek, B. retromodeView image
A case of 49 y.o. man, caucasian, with no history of drugs and systemic disease, referred to our emergency room due to a sudden para central scotoma in his left eye. Our multimodal imaging allowed us to diagnose a syphilitic posterior placoid chorioretinitis, confirmed few days later with serological exams (qualitative TPHA +).View image
Acute syphilitic posterior placoid chorioretinitis (ASPPC) is a rare disease which may resemble many other retinal diseases.Multimodal imaging is important for diseases characterization, and new techniques may aid us in the understanding of their etiopathogenesis.
Accurate patient’s medical patient history is fundamental to spot the correct diagnosis as soon as possible with the purpose to avoid ocular complications and complications linked to syphilis progression.