DR. SUCHITRA KUMARI BISWAL

DR. PRADEEP SAGAR, DR. RAJESH RAMANJULU, DR. MAHESH P. SHANMUGAM

Abstract

Purpose: To describes two cases of syphilitic necrotizing retinitis with presence of subhyaloid hypopyon.

Methods: We report two cases of necrotizing retinitis, which were noted to have yellow boat shaped lesion at the inferior edge of retinitis resembling subhyaloid hypopyon. The subhyaloid location was confirmed on optical coherence tomography in one case.

Results: Subhyaloid hypopyon is an uncommon presentation and is reported in two cases of syphilitic necrotizing retinitis in literature. Severe infection and necrosis confined to the inner retina leads to collection of white blood cells and necrotic material in the subhyaloid space and would settle down resulting in subhyaloid hypopyon. Two cases of subhyaloid hypopyon reported in literature and 2 cases reported in our article are syphilitic retinitis and is not reported in other entities. It is possible that subhyaloid hypopyon may serve as a diagnostic cue in syphilitic necrotizing retinitis.