01321nas a2200145   4500000000100000008004100001260001200042100001800054700001600072700001300088245005700101490000800158520099500166022001401161       2023                            d  c11/20231 aMahendradas P1 aRajendran J1 aSriram R00aMoth-Eaten Appearance of the Iris in Hansen Disease.0 v1413 a<p>A woman in her early 60s treated for Hansen disease 20 years ago presented with diminution of vision in both eyes for the past year. Her best-corrected visual acuity was 6/24 OU. A moth-eaten pattern of iris atrophy was noted bilaterally. Iris atrophy has been reported&nbsp;to be the most common ocular lesion in chronic multibacillary leprosy (25% of patients), persisting despite adequate treatment (3% of patients). The patient’s lens showed cataractous changes in both eyes with a normal posterior segment as evidenced on B-scan ultrasonography. Corneal sensation measured with a Cochet-Bonne esthesiometer was 55 mm OD and 50 mm OS (mean [SD] normal sensation, 57.50 [3.41] mm).<span style="font-size:12.5px"> </span>Clinical images (slitlamp and near-infrared autofluorescence photographs) showed a moth-eaten appearance of the iris in a case of resolved chronic bilateral anterior uveitis with decreased corneal sensation, which is probably a sequela of Hansen disease.</p>
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