섬모체망막동맥폐쇄가 첫 임상 증후로 나타난 안매독 환자 1예

• 영문명: Cilioretinal Artery Occlusion as the First Clinical Manifestation of Ocular Syphilis
• 발행기관: 대한안과학회
• 저자명: 이연희 남기엽 김정열,Yeon Hee Lee, MD, Kiyup Nam, MD, Jung Yeul Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number10, 1254~1258쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2011.10.15

영문 초록

Purpose: To report a case of a neurosyphilis patient with cilioretinal artery occlusion as the first manifestation. Case summary: A 58-year old man presented with a visual impairment which developed 5 days earlier in his right eye. During initial evaluation, the visual acuity in the right eye was 0.02. On fundus examination, a whitening adjacent to the macula was observed and fluorescein angiography showed filling delay and late leakage of the cilioretinal arteries. The patient was diagnosed with cilioretinal artery occlusion. Two weeks after his initial visit, visual acuity in the patient’s right eye improved to 0.7 and retinal whitening was decreased on fundus examination. Three months later, a visual decrease in the right eye reoccurred and the visual acuity was 0.01. Anterior chamber cell reaction with hypopyon was observed on slit lamp examination and vitreal opacity was noted during fundus examination. Among the numerous tests performed in order to determine the cause of uveitis, RPR antibody and treponemal antibody were found positive. The patient was diagnosed with neurosyphylis and 2 weeks after intravenous administration of penicillin, visual acuity improved to 0.7 and anterior chamber cell reaction as well as vitreal opacity decreased. Conclusions: The authors reported a case of cilioretinal artery occlusion suspected secondary to neurosyphilis. J Korean Ophthalmol Soc 2011;52(10):1254-1258

키워드

Cillioretinal artery occlusion, Neurosyphillis, Uveitis