TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Child KW - Corneal Diseases KW - Eye diseases KW - Eyelid Diseases KW - Female KW - Humans KW - leprosy KW - Male KW - Middle Aged KW - Socioeconomic Factors KW - Uveitis KW - Vision Disorders AU - Kagame G K AB -

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.

BT - Social science & medicine (1982) C1 - http://www.ncbi.nlm.nih.gov/pubmed/6648592?dopt=Abstract DA - 1983 DO - 10.1016/0277-9536(83)90385-4 IS - 22 J2 - Soc Sci Med LA - eng N2 -

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.

PY - 1983 SP - 1737 EP - 42 T2 - Social science & medicine (1982) TI - Ocular leprosy in Africa. VL - 17 SN - 0277-9536 ER -