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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 427-429

Use of intravitreal dexamethasone implant to control paradoxical worsening in a case of syphilitic acute placoid posterior chorioretinitis


1 Grewal Eye Institute, Chandigarh, India
2 Duke Eye Center, Department of Retina, Durham, NC, USA
3 Homi Bhabha Cancer Hospital & Research Center - Tata Memorial Center, Department of Radiology, Mullanpur, Punjab, India

Correspondence Address:
Manpreet Brar
Department of Retina, Grewal Eye Institute, SCO 168-169, Sector 9-C,Madhya Marg, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_417_21

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Paradoxical worsening of ocular syphilis after initiation of antimicrobial therapy is rare, however it is important for the clinicians to be aware of this occurrence, as prompt recognition and timely intervention with corticosteroids can lead to restoration of vision. Alteration/discontinuation of antimicrobial therapy may not be indicated. Our case highlighted the role of dexamethasone implant to control such paradoxical worsening in a young patient with ocular syphilis.


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