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🎥 Ocular Syphilis Masquerading as VKH | Case Report Presentation by Dr. McMillan 👁️🗨️ Join Dr. McMillan, a PGY-4 at Baylor Scott & White in Temple, TX, as he presents a fascinating and rare case of ocular syphilis disguised as Vogt-Koyanagi-Harada (VKH) disease. Often dubbed the “Great Imitator,” syphilis can mimic a wide array of ocular conditions, including the prodromal and uveitic features of VKH. In this case, a 50-year-old female presented with bilateral vision loss, optic disc hemorrhages, and exudative retinal detachment. Initial suspicion leaned toward VKH—until further workup revealed positive RPR and syphilis antibodies. Dr. McMillan walks through the diagnostic process, imaging findings, and clinical pearls that highlight the importance of including syphilis in the differential diagnosis—especially before initiating steroid therapy. 📌 Key Takeaways: – Why syphilis must remain on your differential list – How serous detachments can mislead diagnosis – Comparison of VKH vs. ocular syphilis presentations – The life-saving role of prompt antibiotic therapy 🙏 Thank you for watching! Like, share, and subscribe for more eye-opening case reports from the Christian Ophthalmology Society conference. COS Website: https://cosw.org/ Follow the COS on Facebook: / christianophthalmology DISCLAIMER Our videos are intended for educational purposes and are not medical advice. Please consult a licensed health professional for medical consultations. The videos may include copyrighted content used without explicit authorization. This content is for commentary, criticism, and education, aligning with 'fair use' under Section 107 of the U.S. Copyright Law.