Keratohematoma leading to acquired posterior keratoconus.
We describe a patient with congenital syphilis associated with corneal neovascularization and subsequent intracorneal hemorrhage. Over time, this condition resulted in acquired posterior keratoconus. A review of our clinical case, the literature, and histologic findings is presented. To our knowledge, this is the first reported case of acquired posterior keratoconus associated with corneal vascularization and hemorrhage secondary to congenital syphilis. We also have provided histopathologic evidence for the prescence of an iron ring.
Department of Ophthalmology and Pathology, University of California, Irvine Medical Center, Orange 92668.
M A
MA
Côté
R N
RN
Gaster
D002387:Cataract Extraction; D003315:Cornea / Q000473:pathology / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology*; D016510:Corneal Neovascularization / Q000209:etiology; D005130:Eye Hemorrhage / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007640:Keratoconus / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015948:Keratoplasty, Penetrating; D007910:Lenses, Intraocular; D008875:Middle Aged; D013590:Syphilis, Congenital / Q000150:complications