CASE REPORT |
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Year : 2022 | Volume
: 2
| Issue : 2 | Page : 427-429 |
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Use of intravitreal dexamethasone implant to control paradoxical worsening in a case of syphilitic acute placoid posterior chorioretinitis
Manpreet Brar1, Dilraj Singh Grewal2, Satinder Pal Singh Grewal1, Mansi Sharma1, Rahatdeep Singh Brar3, Mangat Dogra1
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
 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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