AI Article Synopsis
- 7 cases of syphilitic optic neuropathy were identified over 2 years, all involving patients newly diagnosed with HIV.
- Most patients presented with swollen optic discs and enlarged blind spots in their visual fields.
- Early diagnosis and proper treatment lead to a good prognosis, with improvement in visual acuity and resolution of optic disc swelling.
Article Abstract
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.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5123058 | PMC |
| http://dx.doi.org/10.3109/01658107.2015.1134586 | DOI Listing |
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