Syphilitic Retinitis and Panuveitis in an Immunocompetent Patient

Objective: The prevalence of syphilis is increasing in the world. Although ocular syphilis is not a common presentation of syphilis, it occurs in 2.5 to 5% of patients with tertiary syphilis and less than 1% of patients with untreated late syphilis. Patient: We report a 58-year-old man presented with a 3-month history of decreased vision. He developed neurosensory detachment, retinitis and panuveitis in his left eye and retinitis in the right eye with no evidence of neurosyphilis as an initial presentation of syphilis. Conclusion: Ocular syphilis should be considered in the list of differential diagnoses of patients with ocular manifestations to make the correct diagnosis and choose a proper treatment option.