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Rhegmatogenous Retinal Detachment in Patients with Acute Syphilitic Panuveitis

Sara J. HaugDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA, Correspondence[email protected]

, MD, PhD,

Ako TakakuraDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA,

, MD,

J. Michael JumperDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA,

, MD,

David HeidenWest Coast Retina Medical Group, San Francisco, California, USA,

, MD,

H. Richard McDonaldDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA,

, MD,

Robert N. JohnsonDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA,

, MD,

Arthur D. FuDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA,

, MD,

Brandon J. LujanDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA, ;Department of Vision Science, School of Optometry, University of California, Berkeley, California, USA,

, MD &

Emmett T. Cunningham JrDepartment of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA, ;West Coast Retina Medical Group, San Francisco, California, USA, ;Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA, and ;The Francis I. Proctor Foundation, UCSF School of Medicine, San Francisco, California, USA

, MD, PhD, MPH show all

Abstract

Purpose: To describe the clinical characteristics and surgical management of rhegmatogenous retinal detachment (RD) in patients with acute syphilitic panuveitis.

Methods: Retrospective case series and comprehensive literature review.

Results: Including present and previously reported cases, we identified 11 eyes in 8 patients with acute syphilitic panuveitis that developed a rhegmatogenous RD. Seven of 11 eyes (63.6%) were repaired with a combined scleral buckling, vitrectomy, and endolaser photocoagulation surgery; 1 eye (9.1%) was repaired with scleral buckling only; and 2 eyes (18.2%) with vitrectomy only. Cryotherapy was used to treat a giant retinal tear in 1 eye (9.1%). Four eyes (36.4%) redetached and 3 underwent a second vitrectomy surgery.

Conclusions: Although uncommon, rhegmatogenous RD can occur in patients with moderate to severe acute syphilitic panuveitis. We believe scleral buckling, vitrectomy, endolaser photocoagulation, and silicone oil tamponade give the best chance for successful retinal reattachment.

Keywords

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

This study was supported in part by the Pacific Vision Foundation and the Retina Foundation.

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Rhegmatogenous Retinal Detachment in Patients with Acute Syphilitic Panuveitis

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Rhegmatogenous Retinal Detachment in Patients with Acute Syphilitic Panuveitis

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