01324nas a2200205 4500000000100000008004100001260001700042653001400059653003000073653001100103653001800114653001400132653001200146100001300158245004500171300001100216490000700227520087000234022001401104 2009 d c2009 Sep-Oct10aBlindness10aEye Infections, Bacterial10aHumans10aIridocyclitis10aKeratitis10aleprosy1 aCohen JM00a[Ocular leprosy: a historical approach]. a728-330 v723 a

A sharp drop in the prevalence of leprosy occurred in the last three decades. However, the incidence has not decreased at the same rate. Three years after the World Health Organization last deadline for leprosy control, patients considered healed still need special care for their incapacities and immunopathological reactions. Medical literature reffers blindness in 4% to 11% of studied patients and more than 20% with severe visual problems due to corneal exposure, bacillary invasion and hipersensibility. These mechanisms result in a population of nearly one million blind leprosy patients even though official prevalence accounts no more than 250,000 patients worldwide. The author calls for better patients management and follow-up and urges ophthalmologists to become more aware and interested in the treatment of the ocular complications of leprosy.

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