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Editor,—Retinal inflammations generally present in varied but fairly characteristic patterns. The advent of penicillin almost wiped out syphilis; however, there has been an increase in the incidence of syphilitic infections reported over the past decade. This protean infection can mimic many others and produces unusual lesions anywhere in the eye.
A 20-year-old male patient presented with hazy vision and pain in the right eye for 2 weeks. There was no history of similar complaints in the past. The patient did not suffer from oral or genital ulcers or any other systemic illnesses.
On examination, the visual acuity was 20/200 in the right eye and 20/20 in the left. The anterior segment was essentially within normal limits.
On examination of the right fundus (Fig 1) the patient was found to have a yellow-white preretinal exudation and vitritis over 5–6 disc diameters above the macula and over the superotemporal retinal vessels. The inferior part of this exudation was in the …
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