伴有双侧漏斗状虹膜角膜粘连的梅毒性间质性角膜炎。病例报告。

Syphilitic interstitial keratitis with bilateral funnel-shaped iridocorneal adhesions. A case report.

作者信息

Ruusuvaara P, Setälä K, Kivelä T

机构信息

Department of Ophthalmology, University of Helsinki, Finland.

出版信息

Eur J Ophthalmol. 1996 Jan-Mar;6(1):6-10. doi: 10.1177/112067219600600102.

DOI:10.1177/112067219600600102

PMID:8744842

Abstract

We present the clinical and light microscopic ophthalmological findings in a 60-year-old woman with bilateral, symmetrical, paracentral anterior synechia formation and healed, old, inactive interstitial keratitis, probably secondary to congenital syphilis. The patient underwent ECCE and IOL implantation in the left eye and a triple procedure (corneal transplantation, ECCE and IOL) in the right eye. Gonioscopy, fluorescein angiography and light microscopy of a specimen from the triple procedure revealed a fibrovascular connection between the iris and cornea. The etiology of the funnel-shaped bilateral iridocorneal synechiae is discussed.

摘要

我们报告了一名60岁女性的临床及光学显微镜下眼科检查结果。该患者双眼出现对称性、近中央前粘连形成，伴有陈旧性、愈合的、非活动性间质性角膜炎，可能继发于先天性梅毒。患者左眼接受了白内障囊外摘除术及人工晶状体植入术，右眼接受了三联手术（角膜移植、白内障囊外摘除术及人工晶状体植入术）。对三联手术标本进行的前房角镜检查、荧光素血管造影及光学显微镜检查显示虹膜与角膜之间存在纤维血管连接。本文讨论了双侧漏斗状虹膜角膜粘连的病因。