{"id":5143,"date":"2025-05-05T15:53:27","date_gmt":"2025-05-05T18:53:27","guid":{"rendered":"https:\/\/sbrv.org\/paciente\/?post_type=doenca&#038;p=5143"},"modified":"2025-05-05T15:53:28","modified_gmt":"2025-05-05T18:53:28","slug":"retinopatia-por-sifilis","status":"publish","type":"doenca","link":"https:\/\/sbrv.org\/paciente\/doencas-retina\/retinopatia-por-sifilis\/","title":{"rendered":"Retinopatia por S\u00edfilis: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV"},"content":{"rendered":"\n<p>\nA s\u00edfilis ocular \u00e9 uma infec\u00e7\u00e3o que pode acometer todas as estruturas do olho, incluindo retina, coroide e nervo \u00f3ptico. Com a reemerg\u00eancia da s\u00edfilis, essa forma tornou-se um diagn\u00f3stico importante e desafiador na oftalmologia, pois pode imitar outras doen\u00e7as oculares.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">O QUE \u00c9<\/h2>\n\n\n\n<p>\n\u00c9 a manifesta\u00e7\u00e3o ocular da infec\u00e7\u00e3o por <em>Treponema pallidum<\/em>, que pode causar inflama\u00e7\u00e3o da retina (retinite), vasos (vasculite) ou do nervo \u00f3ptico (neuroretinite).\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CAUSAS E FATORES DE RISCO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infec\u00e7\u00e3o sexualmente transmiss\u00edvel (s\u00edfilis adquirida).<\/li>\n\n\n\n<li>Coinfec\u00e7\u00e3o com HIV aumenta a chance e severidade do acometimento ocular.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">SINTOMAS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vis\u00e3o borrada ou distorcida.<\/li>\n\n\n\n<li>Presen\u00e7a de moscas volantes.<\/li>\n\n\n\n<li>Dor ocular e fotofobia (sensibilidade \u00e0 luz).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">DIAGN\u00d3STICO<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Sorologia (VDRL\/RPR + FTA-ABS):<\/strong> confirma a infec\u00e7\u00e3o sist\u00eamica.<\/li>\n\n\n\n<li><strong>Fundoscopia:<\/strong> altera\u00e7\u00f5es vari\u00e1veis, como les\u00f5es hipopigmentadas, retinite em placa ou descolamento de retina (s\u00edfilis \u00e9 chamada de &#8220;a grande mascaradora&#8221;).<\/li>\n\n\n\n<li><strong>Exames de imagem:<\/strong> retinografia, angiofluoresceinografia, autofluoresc\u00eancia, OCT e OCT-A identificam inflama\u00e7\u00e3o ativa e cicatrizes, e s\u00e3o \u00fateis para diagn\u00f3stico e acompanhamento.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">TRATAMENTO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Penicilina cristalina endovenosa:<\/strong> \u00e9 o tratamento de escolha para s\u00edfilis ocular, por pelo menos 10 a 14 dias.<\/li>\n\n\n\n<li><strong>Corticosteroides sist\u00eamicos:<\/strong> podem ser usados ap\u00f3s 48 horas de antibi\u00f3tico, para reduzir inflama\u00e7\u00e3o sem comprometer o tratamento da infec\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PROGN\u00d3STICO<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alta taxa de recupera\u00e7\u00e3o visual se o tratamento for iniciado precocemente.<\/li>\n\n\n\n<li>Risco de sequelas visuais permanentes com diagn\u00f3stico ou tratamento tardio.<\/li>\n\n\n\n<li>Recomenda-se investiga\u00e7\u00e3o de neuross\u00edfilis, j\u00e1 que o envolvimento ocular ocorre em at\u00e9 40% dos casos com comprometimento neurol\u00f3gico.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PREVEN\u00c7\u00c3O E CUIDADOS<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exames de rotina para s\u00edfilis em popula\u00e7\u00f5es de risco (pessoas com m\u00faltiplos parceiros, HIV positivo, gestantes).<\/li>\n\n\n\n<li>Uso correto de preservativos.<\/li>\n\n\n\n<li>Educa\u00e7\u00e3o em sa\u00fade sexual e diagn\u00f3stico precoce.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">PERGUNTAS FREQUENTES<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>A s\u00edfilis ocular \u00e9 grave?<\/strong><br>\u2013 Sim; se n\u00e3o tratada rapidamente, pode causar cegueira.<\/li>\n\n\n\n<li><strong>Toda s\u00edfilis afeta os olhos?<\/strong><br>\u2013 N\u00e3o; o acometimento ocular \u00e9 mais comum nas fases secund\u00e1ria e terci\u00e1ria da doen\u00e7a.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">REFER\u00caNCIAS<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Goldenberg DT, et al. <em>Ophthalmology<\/em>. 2005;112(1):101\u2013109.<\/li>\n\n\n\n<li>Park JG, et al. <em>Surv Ophthalmol<\/em>. 2012;57(6):448\u2013469.<\/li>\n<\/ol>\n","protected":false},"template":"","class_list":["post-5143","doenca","type-doenca","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Retinopatia por S\u00edfilis: O que \u00e9, Sintomas, Diagn\u00f3stico e Tratamentos | SBRV - SBRV - \u00c1rea do Paciente<\/title>\n<meta name=\"description\" content=\"Retinopatia por s\u00edfilis: saiba como a infec\u00e7\u00e3o impacta a retina e as op\u00e7\u00f5es de tratamento. 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