01662nas a2200361   4500000000100000008004100001260001600042653001500058653001000073653000900083653001000092653001100102653001700113653001100130653002500141653001200166653001600178653002200194653002800216653002300244653001000267653001800277653001800295100001300313700001300326700001200339700001400351245005300365300001000418490000800428520085000436022001401286       1985                            d  c1985 Sep 1510aAdolescent10aAdult10aAged10aChild10aCornea10aEye diseases10aHumans10aIntraocular Pressure10aleprosy10aMiddle Aged10aMuscular Diseases10aNervous System Diseases10aOculomotor Muscles10aPupil10aUnited States10aVisual Acuity1 aSpaide R1 aNattis R1 aLipka A1 aD'Amico R00aOcular findings in leprosy in the United States.  a411-60 v1003 a<p>We examined 55 clinic patients with biopsy-proven Hansen's disease and catalogued the ocular findings. Forty patients had lepromatous disease and 15 had tuberculoid disease. Visual acuity was 20/40 or better in 52 patients. Examination of pupillary size in all cases and after dilation with cocaine and hydroxyamphetamine in 15 cases showed decreased sympathetic innervation to the iris dilator muscle in seven cases. Ocular inflammation was uncommon: there was one case of active interstitial keratitis, three of episcleritis, and four of iritis. Although 41 patients had ocular problems attributable to Hansen's disease, the severity of the ocular complications was much less than reported in similar studies from other countries. We believe that the differences were the result of effective antimicrobial and anti-inflammatory therapy.</p>  a0002-9394