Survey of Ophthalmology
Volume 44, Issue 3 , Pages 247-252, November 1999

Not So Slowly Progressive Visual Loss☆

  • Helen Danesh-Meyer, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Phildelphia, PA, USA
    • ,
  • Kenneth C Kubis, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Phildelphia, PA, USA
    • ,
  • Robert C Sergott, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Phildelphia, PA, USA

PETER J. SAVINO, EDITOR

Abstract 

A 51-year-old man presented with bilateral progressive visual loss during a 2-month period. Visual acuity was 20/60 in both eyes with bilateral constricted visual fields. Funduscopy revealed bilateral disk pallor and arteriolar attenuation. His vision declined rapidly during the next 2 weeks. Investigations showed a positive cerebrospinal fluid Venereal Disease Research Laboratory test (1:8). A diagnosis of neurosyphilis was made, and treatment was started with high-dose intravenous and intramuscular penicillin.

Keywords:  neurosyphilis, optic atrophy, syphilis, visual loss

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PII: S0039-6257(99)00099-5

Survey of Ophthalmology
Volume 44, Issue 3 , Pages 247-252, November 1999

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