The following case is thought to be worthy of recording, not only because of the comparative rarity of the condition, but also with the belief that the lesion was probably prodromal of a more serious central nervous system involvement, which has probably been prevented, and certainly has been stayed by prompt antisyphilitic treatment.
Mr. N. S. D. was referred to me Jan. 28, 1913, by Dr. Thomas R. Boggs, through whose courtesy I am now at liberty to report the case. The patient had had syphilis five years previously and at that time had been under treatment for eighteen months; since then his general health had been excellent. On January 12, following a long stretch of book work, to which he was unaccustomed, he had felt a fluttering sensation in the left eye and a day or so later had noticed that the vision of that eye was quite blurred
DOWNEY JW. REPORT OF A CASE OF MONOCULAR PARALYSIS OF THE ACCOMMODATION DUE TO LUES. JAMA. 1913;61(13_part_1):1043. doi:10.1001/jama.1913.04350130037013