Abstract

PEREZ-CARRO, G. et al. Iridoschisis associated to congenital syphilis: serological confirmation at the 80'^s. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.7, pp.353-357. ISSN 0365-6691.

Clinical case: Female in her eighties is admitted suffering from unilateral ocular pain. On examination we observed, as well as corneal abrasion, a bilateral iridoschisis with a frayed iris, unfolded between its stromal layers. Discussion: This rare case is related either to senile degenerative change or to angle-closure glaucoma. However, it is also associated with congenital syphilis with or without the presence of interstitial keratitis. Infant conjunctivitis and a «salt and pepper» appearance of the fundus oculi complete the diagnosis. It is confirmed that the patient had suffered from congenital late syphilis, cured by the age of 80: this confirmation is reached by treponemal (RPR-) and non-treponemal (TPHA+) serological tests.

Keywords : Bilateral iridoschisis; angle-closure glaucoma; congenital syphilis; interstitial keratitis.

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