Clinical Study

Clinical Manifestations and Treatment Outcomes of Syphilitic Uveitis in a Chinese Population

Table 2

Clinical features of the patients with syphilitic uveitis.

CaseDuration (month)Ocular findingsFA findingsOther auxiliary examinationsInitial BCVABCVA at final visit

1OS: 1OS: AC cells 1+; flare 1+; vitreous cells 1+; placoid, yellowish, outer retinal lesionsOS: early irregular hyperfluorescence; progressive hyperfluorescence; late stainingOCT: partial ill-defined IS/OS junction; irregular RPE; a fine epiretinal membraneOS: 20/200OS: 20/25

2OD: 6OD: flare 1+; cataract; vitreous cells 1+; retinal edema and exudatesOD: perivascular leakage; hyperfluorescence; late stainingOCT: ill-defined IS/OS junction; increased central foveal thickeningOD: 20/200OD: 20/30

3OU: 8OD: AC cells 2+; flare 2+; cataract; posterior synechiae; Busacca nodules; vitreous cells 3+; fundus blurred; OS: AC cells 1+; flare 2+; cataract; posterior synechiae; Busacca nodules; vitreous cells 3+; fundus blurredNDB-scan: diffuse, high reflectivity in vitreous body; retinal edemaOD: HM
OS: CF
OD: 20/50
OS: 20/40

4OD: 5
OS: 6
OU: AC cells 1+; flare 1+; vitreous cells 2+; disk edema; peripheral infiltratesOU: optic disk leakage; perivascular staining OCT: OU: optic disk edema; increased thickening of retina OD: 20/100
OS:20/125
OD: 20/20
OS: 20/25

5OD: 5
OS: 3
OD: AC cells 1+; flare 1+; vitreous cells 1+; retinal edema and yellow macular
exudative lesion; OS: AC cells 1+; flare 1+; vitreous cells 1+; retinal edema
OD: early irregular hyperfluorescence; late diffuse staining of the lesion
OS: optic disk leakage and perivascular staining
OCT: OD: irregular retinal contour; ill-defined IS/OS junction; absent external limiting membrane; OS: optic disk edema; retina edemaOD: 20/200
OS: 20/100
OD: 20/25
OS: 20/20

6OD: 1OD: AC cells 1+; flare 1+; vitreous cells 2+; diffuse retinal edema; serous retinal detachmentOD: multifocal areas of leakage; late stainingB-scan: medium reflectivity in vitreous body; retinal detachmentOD: CFOD: 20/32

7OD: 2
OS: 15
OD: AC cells 1+; flare 1+; vitreous cells 1+; yellow-white macular lesion and proliferative membrane
OS: AC cells 1+; flare 1+; vitreous cells 1+; retinal edema; exudation; yellow-white lesions at the level of RPE
OU: early hypofluorescence; late stainingOD: subretinal fluid; fine membrane on the retinal surface
OS: subretinal fluid
OD: 20/200
OS: 20/200
OD: 20/40
OS: 20/50

8OD: 1
OS: 2
OU: AC cells 1+; flare 2+; vitreous cells 3+, with yellow-white spots; fundus blurred NDB-scan ultrasonography: diffuse, medium to high reflectivity in vitreous body; retinal edemaOU: HMOD: 20/25
OS: 20/32

9OD: 6OD: AC cells 1+; flare 1+; vitreous cells 1+; retinal splinter hemorrhage; subretinal exudationOD: early irregular hyperfluorescence; late stainingNDOD: 20/80OD: 20/25

10OD: 7
OS: 10
OD: vitreous cells 1+; retinal edema; ERM; pigmented spots
OS: vitreous cells 1+; retinal edema
OU: retinal vascular leakage; late staining; CMEOCT: OD: increased thickening of neurosensory retina; ERM; CME
OS: increased thickening of neurosensory retina; CME
OD: 20/80
OS: 20/125
OD: 20/32
OS: 20/50

11OU: 2OU: AC cells 1+; flare 1+; vitreous cells 1+; hyperemic optic disk and edema; diffuse retinal edemaOU: optic disk leakage; retinal vascular leakage; late stainingOCT: OU: increased thickening of neurosensory retina; subretinal fluid and irregular RPEOD: 20/100
OS: 20/200
OD: 20/20
OS: 20/20

12OD: 3
OS: 7
OD: AC cells 1+; flare 1+; vitreous cells 2+ with yellow spots; retinal edema; yellow macular lesion
OS: AC cells 1+; flare 1+; cataract; posterior synechiae; Busacca nodules; vitreous cells 2+ with yellow spots; retinal edema; CME; ERM
OD: retinal vascular leakage; macular leakage under neurosensory elevation
OS: retinal vascular leakage; disc staining; CME; ERM
VEP: amplitude of P100 marked reductionOD: 20/125
OS: 20/400
OD: 20/32
OS: 20/50

13OD: 18
OS: 17
OU: cataract; pallor optic disk; retinal vascular sheathingOU: optic disk staining; perivascular leakage; late stainingFlash and pattern ERG and VEP reduced OUOD: 20/400
OS: 20/250
OD: 20/40
OS: 20/25

14OD: 5
OS: 3
OD: cataract; posterior synechiae vitreous cells 1+; midperipheral yellow lesion; CME
OS: AC cells 1+; flare 1+; vitreous cells 1+; optic disk edema; retinal edema
OD: early hypofluorescence; late staining; CME
OS: optic disk and retinal vascular leakage; late staining
NDOD: 20/125
OS: 20/100
OD: 20/40
OS: 20/25

15OU: 2OD: AC cells 2+; flare 1+; cataract; posterior synechiae; vitreous cells 3+ with yellow spots; fundus blurred
OS: AC cells 1+; flare 1+; vitreous cells 3+ with yellow spots; fundus blurred
NDB-scan ultrasonography: high reflectivity in vitreous cavity with retinal edemaOD: CF
OS: 20/500
OD: 20/60
OS: 20/50

AC: anterior chamber; BCVA: best corrected visual acuity; CF: counting fingers; CME: cystoid macular edema; ERG: electroretinogram; ERM: epiretinal membrane; FA: fluorescein angiography; HM: hand movement; IS/OS: inner segment/outer segment; ND: not done; OCT: optical coherence tomography; OD: right eye; OS: left eye; OU: both eyes; VEP: visual evoked potential.