%0 Journal Article
%T Iridosquisis asociada a s¨ªfilis cong¨¦nita: confirmaci¨®n serol¨®gica a los 80 Iridoschisis associated to congenital syphilis: serological confirmation at the 80's
%A G. P¨¦rez-Carro
%A M. Vilanova
%A M.G. Antu£¿a
%A V. C¨¢rcaba
%J Archivos de la Sociedad Espa£¿ola de Oftalmolog¨ªa
%D 2009
%I Scientific Electronic Library Online
%X Caso cl¨ªnico: Mujer octogenaria que acude por dolor ocular unilateral. En la exploraci¨®n observamos, adem¨¢s de una abrasi¨®n corneal, una iridosquisis bilateral con un iris desflecado, desdoblado entre sus capas estromales. Discusi¨®n: Esta rara entidad est¨¢ relacionada con los cambios degenerativos seniles o al glaucoma de ¨¢ngulo cerrado. Sin embargo, tambi¨¦n es asociado a la s¨ªfilis cong¨¦nita con o sin la coexistencia de queratitis intersticial. Las conjuntivitis en la infancia y el fondo de ojo en  sal y pimienta  complementan el diagn¨®stico de sospecha. Confirm¨¢ndose, a los 80 a os una s¨ªfilis cong¨¦nita tard¨ªa curada, por los test serol¨®gicos trepon¨¦micos (RPR-) y no trepon¨¦micos (TPHA+). 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.
%K Iridosquisis bilateral
%K glaucoma ¨¢ngulo cerrado
%K s¨ªfilis cong¨¦nita
%K queratitis intersticial
%K Bilateral iridoschisis
%K angle-closure glaucoma
%K congenital syphilis
%K interstitial keratitis
%U http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912009000700006