方法：回顾性病例研究。回顾性分析2007-01/2012-01本院收治的首诊于眼科的梅毒性眼病13例23眼，分析其临床表现、治疗方法、预后等。13例患者按神经梅毒除1例因青霉素过敏予静滴头孢曲松治疗，其余全部予静滴青霉素治疗。

结果：患者13例中，9例17眼患者表现为脉络膜视网膜炎，2例3眼患者表现为视神经视网膜炎，1例1眼患者表现为视神经炎，1例2眼患者表现为渗出性视网膜脱离。抗梅毒治疗后，所有炎症消退，12例22眼患者视力提高，平均视力0.56±0.23。患者RPR滴度下降4倍，平均1：16.6。

结论：梅毒性眼病表现多样，容易漏诊、误诊，临床上应提高警惕，及早发现，及早治疗。

METHODS:The clinical data of 13 patients with active ocular syphilis were retrospectively reviewed. The diagnosis was made first in eye clinic. Twelve patients received systemic penicillin therapy and 1 patient was treated with ceftriaxone due to penicillin allergy.

RESULTS:The major ocular manifestations included chorioretinitis(9 cases, 17 eyes), neuroretinitis(2 cases, 3 eyes), optic neuritis(1 case, 1 eye), exudative retinal detachment(1 case, 2 eyes). The mean follow-up visual acuity was 0.56±0.23, and follow-up of(rapid plasma reagin)RPR titer was 1:16.6.

CONCLUSION:Ocular syphilis has different manifestations, which is easy to misdiagnosis and missed diagnosis. Oculist should be vigilant to detect and treat early.