%0 Case Reports %T Surgical repair of an inflammatory macular hole associated with ocular syphilis. %A Niemeyer KM %A Chen X %J Am J Ophthalmol Case Rep %V 26 %N 0 %D Jun 2022 %M 35464690 暂无%R 10.1016/j.ajoc.2022.101530 %X UNASSIGNED: To describe a case of an inflammatory macular hole associated with ocular syphilis and its successful surgical closure.
UNASSIGNED: A 55-year-old man presented with count fingers vision and was found to have unilateral ocular syphilis with panuveitis and a foveal subretinal lesion. The inflammation quickly resolved with treatment, but he developed a full-thickness macular hole on day 5. A pars plana vitrectomy with membrane peel and intraocular gas was performed three months later. The macular hole was successfully closed, and the patient's vision improved to 20/200 18 months after repair. Foveal outer retinal atrophy limited final vision improvement.
UNASSIGNED: Ocular syphilis can rarely be associated with inflammatory macular holes. Surgical intervention can offer successful anatomic results; however, final visual outcomes may be limited by retinal scarring or atrophy from the original inflammation.