Neurosyphilis Presenting as Asymptomatic Optic Perineuritis

Figure 1

Composite retinal nerve fiber layer OCT. Optical coherence tomography showing extent of disc swelling during clinical course. At presentation (magenta line), disc edema is mild in the right eye, but more severe in the left eye. One and three weeks later (red and blue lines), disc edema has increased to both eyes. After treatment with antibiotics (black line), disc edema has essentially resolved.