Syphilis und Auge

Syphilitic Optic Neuritis

“…They considered that the initial lesion was in the papilla with subsequent spread backwards to the optic nerve, and that the optic neuritis was not part of a more widespread syphilitic meningitis. Igersheimer (1918) gives brief details of 13 cases of optic neuritis. All but two recovered normal vision after treatment, and in most cases the fundus also returned to normal.…”

“…Two improved with anti-syphilitic treatment and two did not. Sloan and Woods (1938), in a study of visual field defects in syphilis, record the changes in three cases of active optic neuritis, one occurring in the secondary stage, two due to neurorecurrence. All showed enlargement of the blind spot and either nerve bundle lesions or central scotomata.…”

Some Unusual Cases of Neurosyphilis

“…5 It is known that the region of the chiasm is a favourite area for basilar syphilitic meningitis, and occasionally a gumma is found there with little meningeal involvement. Igersheimer (1928) has noted the tendency of the temporal field defect to progress so that the entire field of one or both eyes RIGHT 20 330W ,000t~. visual acuity in the right eye 6/6.…”