title: Rapid response of syphilitic optic neuritis to posterior sub-tenon's steroid injection.
abstract: An HIV-positive man with subacute syphilitic meningitis developed severe bilateral visual loss from optic neuritis. His visual acuity improved remarkably within 24 hours after single posterior sub-Tenon's injections of triamcinolone (Kenalog) were given. Periocular steroid injections should be considered as an adjunctive treatment of syphilitic optic neuritis.
authors.affiliation: Department of Ophthalmology, University Hospitals of Cleveland, Ohio.
authors.forename: R L
authors.initials: RL
authors.lastname: Tomsak
authors.forename: L D
authors.initials: LD
authors.lastname: Lystad
authors.forename: M B
authors.initials: MB
authors.lastname: Katirji
authors.forename: T C
authors.initials: TC
authors.lastname: Brassel
mesh_terms: D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000188:drug therapy*; D009902:Optic Neuritis / Q000150:complications / Q000188:drug therapy*; D010406:Penicillins / Q000627:therapeutic use; D013588:Syphilis Serodiagnosis; D014222:Triamcinolone Acetonide / Q000627:therapeutic use*; D014792:Visual Acuity
chemical_list: D010406:Penicillins; D014222:Triamcinolone Acetonide