01696nas a2200337   4500000000100000008004100001260001700042653000900059653001300068653002400081653002000105653001400125653001100139653001100150653000900161653003500170653001200205653000900217653001600226653002200242653001200264653001800276100001700294245011000311856006400421300001100485490000700496050002000503520082100523022001401344       2004                            d  c2004 Jan-Mar10aAged10aCataract10aCataract Extraction10aCorneal Opacity10aEctropion10aFemale10aHumans10aIran10aLens Implantation, Intraocular10aleprosy10aMale10aMiddle Aged10aTreatment Outcome10aUveitis10aVisual Acuity1 aDerakhshan A00aVisual outcome of extracapsular cataract extraction and intraocular lens replacement in leprosy patients.  uhttp://www.emro.who.int/publications/emhj/1001_2/visual.htm  a187-910 v10  aDERAKHSHAN 20043 a<p>The study was carried out in Meshed, Islamic Republic of Iran, from 1998 to 2000 to explore the visual outcome of eye surgery with extracapsular cataract extraction and intraocular lens replacement on 18 leprosy patients (20 eyes). The most common complications of leprosy were madarosis (90%) and partial or total corneal opacity (90%). Visual acuity before surgery ranged from 'light perception' to 1/10, and this improved after surgery to 5/10-8/10 for 55% of patients. Postoperative infection leading to endophthalmitis occurred in only 1 patient and was treated with drugs; this patient's visual acuity remained at 10 cm finger count. Posterior synechia due to chronic uveitis in leprosy was diagnosed in 70% of eyes, obstructed iris in 25%, keratic precipitates in 25% and moderate iris atrophia in 10%.</p>  a1020-3397