Rapid response of syphilitic optic neuritis to posterior sub-tenon's steroid injection.
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.
Tomsak
R L
RL
Department of Ophthalmology, University Hospitals of Cleveland, Ohio.
Lystad
L D
LD
Katirji
M B
MB
Brassel
T C
TC
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
D010406:Penicillins; D014222:Triamcinolone Acetonide