This man was diagnosed with congential syphillis. His corneas showed the classic ghost vessels seen in patients who have had interstitial keratitis. The mottled, or "salt and pepper" fundus, pale nerve heads, and bad teeth ("peg teeth") were also consistent with the diagnosis. Cases usually present in the before age twenty with active keratitis, anterior uveitis and other inflammatory signs. Testing includes VDRL, FTA-ABS and sometimes viral and toxoplasma titers when results are unclear.

Active cases are usually treated with systemic PCN, and standard treatment of the anterior uveitis - including topical steroids and cycloplegics - if present. This man was referred out to make sure no active disease was present, then simply followed.