Purpose.To report the successful utilization of adjunctive repeat intravitreal corticosteroid therapy click here for the treatment of cystoid macular edema in syphilis-related uveitis.Methods/Patients.An HIV-positive patient with treated ocular syphilis who developed refractory cystoid macular edema (CME) was treated with repeat intravitreal corticosteroid therapy including dexamethasone intravitreal implants.
Results.Treatment led to the resolution of CME and improvement in visual acuity.Conclusions.Intravitreal corticosteroid therapy may be a viable adjunctive sophie allport bee curtains treatment for refractory CME in patients with treated syphilitic uveitis.
Corticosteroid-induced exacerbation of infection is unlikely in patients with an adequate serologic treatment response.