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Case Reports in Ophthalmological Medicine
Volume 2018, Article ID 7419823, 3 pages
Case Report

Repeat Intravitreal Dexamethasone Implant for Refractory Cystoid Macular Edema in Syphilitic Uveitis

1College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
2Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA
3Department of Ophthalmology, Suez Canal University, Ismailia, Egypt

Correspondence should be addressed to Ahmed B. Sallam; ude.smau@mallasa

Received 6 October 2017; Accepted 14 January 2018; Published 19 February 2018

Academic Editor: Kevin J. Blinder

Copyright © 2018 Cassandra C. Lautredou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To report the successful utilization of adjunctive repeat intravitreal corticosteroid therapy for the treatment of cystoid macular edema in syphilis-related uveitis. Methods/Patients. An HIV-positive patient with treated ocular syphilis who developed refractory cystoid macular edema (CME) was treated with repeat intravitreal corticosteroid therapy including dexamethasone intravitreal implants. Results. Treatment led to the resolution of CME and improvement in visual acuity. Conclusions. Intravitreal corticosteroid therapy may be a viable adjunctive treatment for refractory CME in patients with treated syphilitic uveitis. Corticosteroid-induced exacerbation of infection is unlikely in patients with an adequate serologic treatment response.