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International Preferred Practice Patterns for Syphilitic Uveitis


Roy M. Stathis1

1. Wagga Wagga Rural Referral Hospital

Background

Syphilis is re-emerging worldwide, accompanied by advances in diagnostics and treatment. We investigated current practice for syphilitic uveitis amongst uveitis specialists internationally. 

Methods

A 25-question survey, focused on presentation and management of syphilitic uveitis, was distributed to 268 members of the International Ocular Inflammation Society (IOIS). 

Results

Responses were received from 108 IOIS members (40.3%), who managed 5.8 mean cases of syphilitic uveitis in 2016. 45 of 83 respondents with relevant experience (54.2%) report increased frequency from 10 years prior. 66 of 108 (61.1%) order simultaneous treponemal and non-treponemal serological tests for diagnosis, and lumbar puncture is requested by 98 of 108 (90.7%). HIV testing is ordered by most (103/106, 97.2%). The clinical factor considered best predictive of poor outcome is optic neuropathy (93/107, 86.9%).  

Conclusions

Increasing numbers of syphilitic uveitis are being managed by uveitis specialists. Our findings provide a guide for best practice within the ophthalmology community.

November, 2020
10.37912/WaggaJOM.0301.33

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