Ocular Syphilis Presenting With Multiple Eye Lesions As The Only Manifestation: A Case Report

Syphilis is a common sex-infectious disease in the world. Ocular syphilis is an uncommon presentation of this disease, and even can mimic a variety of eye diseases. It often presents with common ophthalmic manifestations, for example, vision loss, ocular inflammation, etc. Uveitis is the most common symptom of ocular syphilis. We presented a unique case of ocular syphilis involving damage of anterior and posterior segments simultaneously but without any skin lesions. A 52 year-old man was firstly diagnosed with ophthalmoneuritis, several days later, his sclera, ciliary body and uvea were affected by inflammation, finally the retina and macular were also involved. Laboratory check-up of TPPA and RPR was positive. Then diagnosis of ocular syphilis was established. After treatment with penicillin G for 3 months, the visual acuity was improved and ocular inflammation was subsided.