Enhanced depth imaging spectral domain optical coherence tomography in syphilitic chorioretinitis.

PURPOSE: To describe the enhanced depth imaging optical coherence tomography features in syphilitic chorioretinitis.

METHODS

This is a case report.

RESULTS

A 69-year-old man was diagnosed with syphilitic chorioretinitis after presenting with a 3-week history of blurred vision in his right eye. Fundus examination revealed vitritis and retinal whitening along the inferotemporal arcade. Enhanced depth imaging optical coherence tomography showed choroidal thickening and increased reflectivity of the overlying retina. Intravenous penicillin G was started and clinical improvement followed with corresponding reduction in choroidal thickness and decreased reflectivity of the overlying retina.

CONCLUSION

Enhanced depth imaging optical coherence tomography can be used in conjunction with clinical examination to localize tissue involvement in syphilitic chorioretinitis and monitor treatment response.