|Year : 1969 | Volume
| Issue : 3 | Page : 123-124
A case of syphilitic anterior uveitis with posterior chamber hemorrhage
Govt. Ophthalmic Hospital, Madras, India
|Date of Web Publication||10-Jan-2008|
C S Kalidasan
Govt. Ophthalmic Hospital, Madras
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Kalidasan C S. A case of syphilitic anterior uveitis with posterior chamber hemorrhage. Indian J Ophthalmol 1969;17:123-4
Patient S. male aged 35 years, attended the hospital on 10.5.'68 for pain and redness of the right eye since 4 days. He did not have such an attack before.
He gave history of extra marital relations and sore on the penis 15 years ago which healed in 8 days. He applied penicillin ointment for the sore 3 days after exposure. He did not have any other treatment.
He was married since 15 years. He had 7 children. 1st alive. 2nd still birth, 3rd, 4th, 5th died during 4th and 5th months of intra-uterine life. 6th and 7th issues arc alive. The last child is 2 years old.
Examination of the Eyes
Right Eye : Lids, conjunctiva, cornea and anterior chamber were normal. Mild circumciliary flush was seen. Pupil was irregular with a posterior synechia at 6' O'clock position. The tension was normal.
Slit Lamp Examination : No aqueous flare or K.P.'s detected.
Fundus : Normal.
No sore could be seen on the penis or discharge per urethra. A scar was present on the body of the penis at 12 O'clock position.
Inguinal lymph nodes on both sides and a posterior cervical node on the right side were enlarged, discrete but painless. Tenia versicolor over the trunk and pigmented patches over the soles of the feet were also seen.
Cardio-vascular system --Normal B.P.-90/60 mm. Hg.
Central nervous system Normal
Respiratory system Normal Investigations:
Urine ---No sugar or albumen
X-ray chest Normal E.S.R. Normal.
He was treated with 1 per cent atropine ointment and cortisone drops locally and orally with prednisolone tablets, one thrice daily. After 6 days of treatment, on 16.5.'68 a circumferential streak of hemorrhage was noted in the upper temporal portion of the anterior face of the vitreous.
Evidently the hemorrhage was between the vitreous and the lens in the posterior chamber. A few fresh K.P.'s were observed by slit lamp examination. The vitreous was also hazy, but the fundus could be seen and found normal. The vision was 6/12.
He was kept under observation and with same treatment on 20.5.'68, that is 5 days later the hemorrhage cleared and the vitreous opacities were also less. The patient also noticed that the vision was better than before.
The patient was referred to the Director, Venereology Department, General Hospital for further treatment. There he had 12 injections of PAM.-2 cc daily and T.A.B. 25 million intravenously, for a total of 6 injections.
He was examined again on 13.6.'68. The eye was quiet except for the posterior synechia.
| Discussion|| |
This case is interesting because this is a proved case of syphilitic uveitis with hemorrhage in the posterior chamber, which cleared spontaneously. The hemorrhage which had come forward in front of the vitreous face was probably due to vasodilatation and increased capillary permeability of the ciliary body. It had cleared well perhaps because it was in front and not in the vitreous itself.
| Summary|| |
A case of syphilitic uveitis with hemorrhage in the posterior chamber is reported.
We appreciate with thanks the cooperation and help of Dr. P, N. Rangiah M.D., Director of Venereology aid Dr. C. N. Sowmini, of Govt. General Hospital, Madras.
| References|| |
Connad Berens: Eye and its diseases p. 491, 521 Saunders (1950).
Berliner: Biomicroscopy of the eye p. 1147 Paul B. Hoeber (1949).
Duke Elder S : System of Ophthalmology Vol. IX, p. 21, Henry Kimpton, London (1966).
Wolff. E.: Pathology of the eye, pp. 81 and 128. H. K. Lewis & Co., London (1951).