01561nas a2200313   4500000000100000008004100001260000900042653001500051653001000066653000900076653001000085653002100095653001700116653002000133653001100153653001100164653001200175653000900187653001600196653002600212653001200238653002100250100001500271245003000286300001200316490000700328520089800335022001401233       1983                            d  c198310aAdolescent10aAdult10aAged10aChild10aCorneal Diseases10aEye diseases10aEyelid Diseases10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aSocioeconomic Factors10aUveitis10aVision Disorders1 aKagame G K00aOcular leprosy in Africa.  a1737-420 v173 a<p>A clinical examination of 199 leprosy patients in Kenya showed that 62.5% had abnormal ocular findings, 51.2% of which were leprosy related. The potentially blinding lesions were uveitis, keratitis and lagophthalmos and these were found in 22.1% of the patients. 6 Patients (3%) had a visual acuity of less than 3/60 in the better eye and were classified blind. In all, there were 31 blind eyes of which only 12 had leprosy related causes. 10 of these (83%) belonged to lepromatous patients and 2 (17%) to tuberculoid patients. All the 10 eyes of the lepromatous patients were blind due to uveitis. It was shown that lepromatous leprosy patients are at a greater risk of leprosy related blindness especially from uveitis. The socio-psychological and economic implications of leprosy are discussed. Practical recommendations for the primary eye care of the leprosy patient are suggested.</p>  a0277-9536