警惕梅毒性葡萄膜炎

近年来,世界各地的梅毒发病均呈上升趋势.有些患者以眼部葡萄膜炎为梅毒的首发表现,常被贻误诊治.梅毒的眼部表现多种多样,包括基质性角膜炎、前葡萄膜炎、中间葡萄膜炎、后葡萄膜炎、全葡萄膜炎及视神经病变,其中葡萄膜炎是梅毒最常见的眼部表现,可单眼或双眼发病.因此,对于病因不明的葡萄膜炎患者,眼科医师要警惕梅毒所致的葡萄膜炎,进行相关的血清学检查,一经确诊梅毒,首先除外是否合并有人免疫缺陷病毒感染,随后给予及时对症、对因的治疗.

To pay attention to syphilitic uveitis

There has been a dramatic increase in the incidence of syphilis over the last five years in the world.Some of the syphilitic patients have ocular uveitis as the initial presentation of syphilis,which may be misdiagnosed and can lead to a delay of treatment. Multiple manifestations of ocular syphilis include interstitial keratitis:anterior,intermediate,posterior uveitis and optic neuropathies.Uveitis,which my involve unilateral or bilateral eyes,is the most common ocular manifestation of syphilis.The serologic tests for syphilis should be considered for unexplained uveitis patients.All patients diagnosed with ocular syphilis should be tested for co-infection with human inununodeftciency virus.The preferred treatment for ocular syphilis remains hiish dose intravenous penicillin G.