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Hidropsia aguda de la córnea secundaria a la sífilis adquirida
Anchal Thakur1, Divya Challa1, Archana Angrup2
1Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
European journal of ophthalmology
|August 22, 2025
Resumen
Este caso raro destaca las hidropsias agudas de la córnea y las úlceras conjuntivas como posibles signos tempranos de sífilis adquirida. El tratamiento inmediato con antibióticos condujo a la recuperación de la visión, enfatizando la importancia de considerar la sífilis en las presentaciones oculares.
Área de la Ciencia:
- Oftalmología
- Enfermedades infecciosas
- Sífilología
Sus antecedentes:
- La sífilis adquirida puede manifestarse con diversos síntomas oculares.
- La hidropia corneal aguda es una complicación rara pero grave de la inflamación ocular.
Objetivo del estudio:
- Para documentar un caso único de hidropia corneal aguda y ulceración conjuntiva causada por sífilis adquirida.
- Para enfatizar el significado diagnóstico de estos hallazgos oculares en la sífilis.
Principales métodos:
- Informe de caso de un paciente masculino que presentaba pérdida de visión aguda e inflamación ocular.
- Se realizaron exámenes clínicos, tomografía de coherencia óptica del segmento anterior (AS-OCT) y pruebas serológicas (VDRL, TPHA).
- El tratamiento incluyó antibióticos tópicos, doxiciclina oral, acetazolamida y penicilina benzatina intramuscular.
Principales resultados:
- El paciente exhibió úlceras conjuntivas bilaterales e hidropsias corneales agudas en el ojo izquierdo.
- Las pruebas serológicas confirmaron la sífilis activa.
- Tras el tratamiento, se lograron la desaparición completa de los síntomas, cicatrización de la córnea y restauración parcial de la visión.
Conclusiones:
- Las hidropsias agudas de la córnea pueden ser una presentación inicial de la sífilis ocular.
- El diagnóstico y el tratamiento tempranos de la sífilis son cruciales para prevenir complicaciones oculares graves y restaurar la visión.
- Este caso subraya la necesidad de que los oftalmólogos consideren la sífilis en el diagnóstico diferencial de la patología corneal y conjuntiva inexplicable.
Palabras clave:
Enfermedad inmunológica de la córneaTopografía de la córnea < LENS/CATARACTInmunología < InmunologíaEnfermedades infecciosas que afectan el párpado / conjuntivaEnfermedad corneal o externaMás Videos Relacionados
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