[Iridoschisis associated to congenital syphilis: serological confirmation at the 80's].
METHODS
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.


CONCLUSIONS
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.
Pérez-Carro
G
G
Servicio de Oftalmología, Hospital del Valle del Nalón, Asturias, España. gemurri27@yahoo.es
Vilanova
M
M
Antuña
M G
MG
Cárcaba
V
V
Junceda-Moreno
J
J
D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000209:etiology*; D013590:Syphilis, Congenital / Q000097:blood / Q000150:complications*