Syphilitic Optic Neuropathy: Re-emerging Cases Over a 2-Year Period

We report 7 cases of syphilitic optic neuropathy during a 2-year period. All patients were newly diagnosed with human immunodeficiency virus (HIV) infection. Six cases (86%) initially presented with swollen optic disc either unilaterally or bilaterally. Blind spot enlargement was the most common typ...

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Bibliographic Details
Published in:	Neuro-ophthalmology (Amsterdam : Aeolus Press. 1980) 2016-03, Vol.40 (2), p.69-73
Main Authors:	Apinyawasisuk, Supanut, Poonyathalang, Anuchit, Preechawat, Pisit, Vanikieti, Kavin
Format:	Article
Language:	eng
Subjects:	Enlarged blind spot Human immunodeficiency virus optic neuropathy Original syphilis Treponema pallidum
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Summary:	We report 7 cases of syphilitic optic neuropathy during a 2-year period. All patients were newly diagnosed with human immunodeficiency virus (HIV) infection. Six cases (86%) initially presented with swollen optic disc either unilaterally or bilaterally. Blind spot enlargement was the most common type of visual field defect. Final visual acuity of at least 20/25 was achieved together with visual field improvement and resolution of swollen optic disc. Optic nerve involvement can be the first manifestation of syphilis and HIV co-infection. Syphilitic optic neuropathy has an excellent prognosis if the disease diagnosed promptly and treated properly.
ISSN:	0165-8107 1744-506X