Syphilitic Scleritis

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Abstract

A 47-year-old man developed a painful right red eye for 72 hours with a 20/25 decreased visual acuity. He had no medical history. Slit-lamp examination revealed a painful nodular scleritis at the equator of the globe in the infero-temporal quadrant. There was a moderate intraocular inflammation in the anterior segment. Fundus examination revealed a grade 1 hyalitis and a focal retinitis with vasculitis and arterio-veinous occlusion toward the scleritis zone. Syphilis and HIV serology were positive and the scleritis resolved 5 days after a penicillin G medication. Syphilitic scleritis are relatively uncommon.

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Fénolland, J. R., Bonnel, S., Rambaud, C., Froussart-Maille, F., & Rigal-Sastourné, J. C. (2016). Syphilitic Scleritis. Ocular Immunology and Inflammation, 24(1), 93–95. https://doi.org/10.3109/09273948.2014.916307

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