01684nas a2200289 4500000000100000008004100001260000900042653001000051653002200061653001300083653001100096653001800107653001400125653002300139653002400162653002500186653000900211653002500220653002200245100001500267700001700282245006200299300001000361490000800371520100100379022001401380 1997 d c199710aAdult10aFollow-Up Studies10aGlaucoma10aHumans10aIris Diseases10aKeratitis10aLeprostatic Agents10aLeprosy, Borderline10aLeprosy, Tuberculoid10aMale10aTuberculosis, Ocular10aUveitis, Anterior1 aDaxecker F1 aStaudacher C00aOcular involvement in tuberculoid leprosy--a case report. a305-70 v2113 a

Leprosy is rarely diagnosed in our part of the world. In our 26-year-old patient, borderline lepromatous leprosy was first diagnosed in 1992 and was treated with Rifoldin, Lemprene and Dapson according to the standard WHO scheme of treatment. Ophthalmic examination showed minor epithelial lesions of the cornea in both eyes, a reduced corneal reflex in the left eye and a scleral leproma nasally and close to the limbus, also in the left eye. In 1995, the patient was examined again and was treated as above for lepromata of the left eyebrow nasally and of both lower legs. Ophthalmic examination revealed conjunctival irritation, anterior uveitis with leprosy pearls on the pupillary margin and secondary glaucoma. The glaucoma was treated with hypotonics, the uveitis was treated with topical cortisone. The intra-ocular pressure normalised and the uveitis improved. Of the two main types of leprosy, lepromatous leprosy and tuberculoid leprosy, our patient had the second, milder form.

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