Research Article
Volume 9 Issue 8 - 2018
Ophthalmological Manifestations in Patients with Syphilitic Uveitis Treated in the ICO “Ramón Pando Ferrer”
Isabel Ambou Frutos1*, Nasibis Rodríguez Ahuar2, Leonel Ramos Bello3, Daysi de la C Vilches Lescailles4, Lisis Osorio Illas5 and Carmen María Padilla González6
1Specialist of I Degree in Comprehensive General Medicine and Specialist of II Degree in Ophthalmology, Assistant Professor President of the Uveitis Chair eye Inflammations, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
2Specialist I Degree in Comprehensive General Medicine and Ophthalmology, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
3Specialist of I Degree in Comprehensive General Medicine and Specialist I Degree in Ophthalmology, Instructor teacher, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
4Specialist of I Degree in Comprehensive General Medicine and Specialist of II Degree in Ophthalmology, Assistant Professor, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
5Specialist I Degree in Comprehensive General Medicine and Ophthalmology, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
6Specialist I Degree in Comprehensive General Medicine and Biostatistics. Assistant Professor and Associate Researcher, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba
*Corresponding Author: Isabel Ambou Frutos, Specialist of I Degree in Comprehensive General Medicine and Specialist of II Degree in Ophthalmology, Assistant Professor President of the Uveitis Chair eye Inflammations, Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, La Habana, Cuba.
Received: April 17, 2018; Published: August 02, 2018
Citation: Isabel Ambou Frutos. “Ophthalmological Manifestations in Patients with Syphilitic Uveitis Treated in the ICO “Ramón Pando Ferrer””. EC Ophthalmology 9.8 (2018): 609-616.
Abstract
Purpose: Describing the ophthalmological manifestations found in patients diagnosed with syphilitic Uveitis in the Uveitis and Eye Inflammation Service of the Pando Ferrer Eye Clinic of Havana, Cuba.
Method: A retrospective longitudinal descriptive study was conducted on 32 eyes (18) patients who came to the specialized consultation office of Uveitis from July 2013 to December 2015. Inclusion criteria were based on patients with clinical and serological diagnoses of Eye Syphilis. Those who refused being included in the study were excluded as well as those who did not cooperate in undergoing the pertinent diagnostic tests. The variables studied were: age, sex, way of manifestation of the eye condition, connection to HIV-AIDS, laterality, visual sharpness, associated complications and loss of visual sharpness.
Results: Male sex was predominant (88,9%), the Age group of 40 years and over displayed a 55,5% of incidence and Caucasians accounted for 66,6% of the sample under study. HIV-AIDS was concomitant in 61,1% of the patients. The 78% of patients with the condition had a bilateral manifestation and in 89% it manifested itself as Pan uveitis. The most frequent clinical manifestation was Virtutis at 77,7% followed by Inner Spotted Retinitis at 66,6% and Neuritis at 61,1%. At the onset of the condition the visual deterioration was marked with 53,1% of patients displaying 50 var and then with significant improvement attained once stabilized thus increasing to more than 80 var 59,4 of the sample. The most frequent complications were: Detachment of the retina (21,8%), cataract (18,7%) and posterior Synechia (15,6%).
Conclusion: Eye Syphilis is frequently concomitant with HIV-AIDS and predominantly affects white male patients over 40 years of age. It turns up bilaterally most of the times, Panuveitis being the most frequent form of manifestation. The most frequent clinical manifestation was Vitritis followed by Inner Spotted Retinitis and Neuritis. The most frequent complications were detachment of the retina, cataract and posterior Synechia. Sight deterioration was very important before treatment mostly when the optic nerve was involved.
Keywords: HIV-AIDS; Syphilis; Uveitis
Copyright: © 2018 Isabel Ambou Frutos. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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