Table 1.

Chronological summary of visual acuity, visual fields and treatments received

Date, event	Treatment	Vision (right, left1 visual acuity [Snellen], right, left Ishihara plate testing)	Visual field
2/2013, presented with L 6th nerve palsy	Nil	6/9, 6/24 all correct, all correct2	Full both eyes
3/2014, diagnosed with bilateral syphilitic optic neuropathy	Inpatient IV penicillin 16 days, 50 mg prednisolone oral/day for 3 days for Jarisch-Herxheimer prophylaxis	6/18, 6/36 TP only, 8/14	Right superior defect, left full
4/2014		6/24, 6/60 TP only, 5/14
5/2014		6/36, <6/60 fails TP, TP only
6/2014		6/60, 6/60 fails TP, TP only	Right central scotoma, left full
7/2014, second hospitalisation	IV benzylpenicillin for 14 days. IV ceftriaxone 2g daily for 16 days, IV prednisolone 1g for 3 days	2/60, 6/60 fails TP, TP only	Central scotoma both eyes
7/2014, post-discharge	Prednisolone 75 mg daily planned slow taper, azathioprine 75 mg daily, doxycycline 100 mg b.i.d. for 28 days
8/2014, third hospitalisation	IV immunoglobulin 45 g/day for 3 days	2/60, 3/60 fails TP, TP only
9/2014	Prednisolone 75 mg/day, azathioprine 75 mg/day	3/60, 3/60 fails TP, fails TP
12/2014, patient withdrew from further treatment	Nil

TP, test plate.

¹Left visual acuity reduced at presentation by chronic herpes simplex keratitis.

²Hardy-Rand-Rittler testing at presentation with L 6th nerve palsy.