Isolated Optic Neuropathy as the Presenting Sign of Neurosyphilis

Background: Detection and treatment of syphilitic ocular disease without a known history syphilis is often difficult due to its varied presentations. Early diagnosis are the key reducing risk permanent vision loss, particularly with optic nerve retinal manifestations. Case Report: This case report describes 44 year-old male who was diagnosed neurosyphilis through his work-up for unilateral neuropathy. Conclusion: illustrates importance including lab testing in setting edema. Syphilis should be considered any inflammatory disease, especially patients atypical presentations high-risk populations. As incidence continues rise, it important that eye care providers play vital role prompt decrease loss limit further spread disease.