摘要
目的:探讨以眼后节表现为主的梅毒性眼病的临床特点。方法:回顾性病例研究。回顾性分析2007-01/2012-01本院收治的首诊于眼科的梅毒性眼病13例23眼,分析其临床表现、治疗方法、预后等。13例患者按神经梅毒除1例因青霉素过敏予静滴头孢曲松治疗,其余全部予静滴青霉素治疗。结果:患者13例中,9例17眼患者表现为脉络膜视网膜炎,2例3眼患者表现为视神经视网膜炎,1例1眼患者表现为视神经炎,1例2眼患者表现为渗出性视网膜脱离。抗梅毒治疗后,所有炎症消退,12例22眼患者视力提高,平均视力0.56±0.23。患者RPR滴度下降4倍,平均1:16.6。结论:梅毒性眼病表现多样,容易漏诊、误诊,临床上应提高警惕,及早发现,及早治疗。
AIM：To investigate the clinical features of ocular syphilis.METHODS：The clinical data of 13 patients with active ocular syphilis were retrospectively reviewed. The diagnosis was made first in eye clinic. Twelve patients received systemic penicillin therapy and 1 patient was treated with ceftriaxone due to penicillin allergy.RESULTS：The major ocular manifestations included chorioretinitis（9 cases, 17 eyes）, neuroretinitis（2 cases, 3 eyes）, optic neuritis（1 case, 1 eye）, exudative retinal detachment（1 case, 2 eyes）. The mean follow-up visual acuity was 0.56±0.23, and follow-up of（rapid plasma reagin）RPR titer was 1：16.6. CONCLUSION：Ocular syphilis has different manifestations, which is easy to misdiagnosis and missed diagnosis. Oculist should be vigilant to detect and treat early.
出处
《国际眼科杂志》
CAS
2012年第10期1974-1976,共3页
International Eye Science
关键词
梅毒性眼病
临床特点
ocular syphilis
clinical features
