The main symptom of syphilitic ophthalmopathy?

summary

The ocular manifestations of syphilis are extensive, including uveitis, retinitis, optic perineuritis, optic discitis, retrobulbar optic neuritis, optic atrophy, optic syphilis and various stroke syndromes. The main symptom of syphilitic ophthalmopathy? Let's talk about it.

The main symptom of syphilitic ophthalmopathy?

1. Conjunctival chancre and gumma were described before the appearance of antibiotic cord. Conjunctivitis is a common symptom of secondary syphilis. However, when there are more serious systemic symptoms or ocular manifestations, conjunctivitis is usually missed because of its mild symptoms. Syphilitic conjunctivitis can cause bulbar conjunctival edema, vascular congestion, and accompanied by scleritis. The inflammatory exudation of secondary syphilitic conjunctivitis is similar to that of skin, mainly composed of lymphocytes and plasma cells. Histologically, granulomatous conjunctivitis completely resembling sarcoidosis may appear. In this case, the diagnosis can be established as long as the presence of silver stained spirochetes is confirmed.

2. Scleral Watson and hayerh reported that scleral conjunctivitis is common in secondary syphilis, but syphilis rarely causes isolated superficial scleritis and scleritis. As long as it exists, it is usually the characteristics of secondary syphilis or advanced syphilis. If scleritis is the only manifestation of the disease, it is difficult to consider syphilis in the diagnosis.

3. Corneal manifestations of congenital and acquired syphilis have been described by several authors. Syphilitic stromal keratitis (TK) is usually due to congenital infection, occasionally acquired infection. Because the clinical manifestations of congenital infection appear late, the etiology of IK is not always very obvious. It is not clear whether keratitis is due to direct infection or hypersensitivity. The inflammatory reaction of acquired IK is similar to staphylococcal marginal keratitis. Uveitis was present at the beginning of IK. But when uveitis subsides completely, keratitis scar is formed. Corneal stromal vascularization is a constant feature of IK, but it may be difficult to see in corneal stromal scar. A variety of secondary corneal degeneration may occur in many chronic cases. However, Descemet's membrane has a prominent ridge, net or thick curl, which makes the anterior chamber colorful. This is a prominent feature of congenital syphilitic stromal keratitis. Once keratitis develops to angiogenesis, penicillin has little effect on syphilitic IK.

matters needing attention

Once the eyelid is involved, the whole face is involved. Syphilis condyloma is papillary, and then gradually flattened, the opposite side of the skin surface can be affected, lesions rich in spirochete, highly infectious.