Acquired acoria and iris pearls in leprosy: Case report

Abstract

Purpose: To describe a case of a patient presenting with acquired acoria and iris pearls, a rare eye manifestation and pathognomonic finding for leprosy; to reinforce clinical, histopathological, and therapeutic aspects of ocular involvement in leprosy. Methods: Case report. Case description: A 62-year-old male presenting with acquired acoria and iris pearls in both eyes due to leprosy also had anterior uveitis and cataract. Histopathological diagnosis of iris pearls was confirmed by the presence of Hansen’s bacilli. Ophthalmological examination revealed improvement of the visual acuity after iridectomy and extracapsular cataract extraction. Conclusions: To our knowledge, this is the first reported case of acquired acoria in a leprosy patient. It led to impaired vision and reversible blindness. Proper diagnosis and ophthalmological treatment of patients with these conditions are essential for the maintenance of a good quality of life.

Case Report: Congenital Pseudoacorea in an Ocular Axenfeld-Rieger Syndrome: What is it?

“…Acorea is an iris anomaly with very few cases described and is characterized by the absolute absence of the pupillary opening, unlike pseudoacorea where the absence is relative, that is, “the pupil is hidden” [ 1 , 2 ]. Iridocorneal dysgenesis is the result of a failure to differentiate embryonic tissues from the anterior segment [ 3 ].…”

“…Acorea is an iris anomaly with very few cases described and is characterized by the absolute absence of the pupillary opening, unlike pseudoacorea where the absence is relative, that is, "the pupil is hidden" [1,2].…”

Case Report: Congenital Pseudoacorea in an ocular Axenfeld-Rieger syndrome: What is it?

“…In addition, morphologically normal pupils can denote other anomalies such as the microchoria described by Holth in 1923 (1). Acorea is a rare anomaly, congenital or acquired, characterized by an absolute absence of the pupil both at rest and in mydriasis (2,3). In our case we prefer to differentiate it and name it pseudoacorea, since although there is a total absence of the pupil at rest thanks to the application of ocular mydriatics, a micropupil with discoric and corectopic characteristics is achieved.…”