Schwartz L K, O'Connor G R
Am J Ophthalmol. 1980 Sep;90(3):380-4. doi: 10.1016/s0002-9394(14)74921-9.
A 30-year-old man developed bilateral iridocyclitis with iris roseolae and papules three months after the rash of secondary syphilis. The inflammation resolved after treatment with penicillin, intramuscularly, topically given corticosteroids, and cycloplegics. The serum immune-complex levels were slightly increased. Iris angiography showed leakage of fluorescein in the region of the papules and roseolae and from the vessels of the pupillary margin. When the eye was clinically uninflamed, a follow-up angiogram showed leakage of fluorescein from the same areas, suggesting that the inflammatory effect on the iris vessels persisted in the region of the roseolae, the papules, and the sphincter vessels.
一名30岁男性在二期梅毒疹出现三个月后发生双侧虹膜睫状体炎,伴有虹膜玫瑰疹和丘疹。经肌肉注射青霉素、局部给予皮质类固醇和睫状肌麻痹剂治疗后炎症消退。血清免疫复合物水平略有升高。虹膜血管造影显示丘疹、玫瑰疹区域以及瞳孔缘血管有荧光素渗漏。当眼部临床炎症消退后,随访血管造影显示相同区域仍有荧光素渗漏,提示在玫瑰疹、丘疹及瞳孔括约肌血管区域,虹膜血管的炎症影响持续存在。