Dr.KALPANA CHOURASIYA

Dr. SWETA SINGH, Dr.Neetu Kori, Dr.ANITA KUMAWAT

Abstract

HIV-positive patients may often present with ocular syphilis before HIV status is known. Since Co-infection produces more severe inflammation, proper diagnosis is key to management

27 yr male, presented with complaints of sudden, painful diminiution of vision in OU,associated with floaters. No significant past medical history. His BCVA was OU 6/60,anterior segment normal with IOP of 13.7mm hg in both eye. Fundus of both eye revealed vitritis,retinal vascular sheathing, Snowbanking&yellowish elevated plaques suggestive of active chorioretinitis.

Diagnosis of BE acute, intermediate and posterior uveitis made. Blood specimen was sent for serological investigation to determine cause of uveitis. His FTS Ab was positive. His HIV serology also came positive. Patient was treated and reffered to ART center.

Syphilitic posterior uveitis occurs more often in those concomitantly infected with HIV. Therefore, all patients with syphilis should also be screened for HIV infection and vice versa.