TY - JOUR
KW - Adult
KW - Blindness
KW - Egypt
KW - Hospitals, Special
KW - Humans
KW - leprosy
KW - Male
KW - Middle Aged
KW - Rural Population
KW - Trachoma
KW - Visual Acuity
AU - Schwab I R
AU - Nassar E
AU - Malaty R
AU - Zarifa A
AU - Korra A
AU - Dawson C R
AB - <p>In an Egyptian leprosy hospital, 17% of 133 patients had a visual acuity of less than 3/60. Corneal opacity, phthisis bulbi, and cataract accounted for 85% of blindness. Leprosy and trachoma together produce blinding corneal opacity by exposure, leprous keratitis, and trichiasis and entropion. Inturned lids, a late result of conjunctival scarring due to childhood trachoma, were less frequent in patients with lepromatous leprosy than in patients with tuberculoid leprosy; because conjunctival scarring from trachoma depends on cell-mediated immunity, patients with lepromatous leprosy may not have had severe trachomatous scarring develop due to their lifelong abnormality in cellular immunity. In patients with leprosy, even when complicated by trachoma, simple measures to prevent or restore vision include medical treatment of leprosy, surgical correction of lid deformities, sector iridectomy for constricted pupils or central corneal opacities, and cataract extraction.</p>
BT - Archives of ophthalmology (Chicago, Ill. : 1960)
C1 - http://www.ncbi.nlm.nih.gov/pubmed/6696669?dopt=Abstract
DA - 1984 Feb
DO - 10.1001/archopht.1984.01040030190024
IS - 2
J2 - Arch. Ophthalmol.
LA - eng
N2 - <p>In an Egyptian leprosy hospital, 17% of 133 patients had a visual acuity of less than 3/60. Corneal opacity, phthisis bulbi, and cataract accounted for 85% of blindness. Leprosy and trachoma together produce blinding corneal opacity by exposure, leprous keratitis, and trichiasis and entropion. Inturned lids, a late result of conjunctival scarring due to childhood trachoma, were less frequent in patients with lepromatous leprosy than in patients with tuberculoid leprosy; because conjunctival scarring from trachoma depends on cell-mediated immunity, patients with lepromatous leprosy may not have had severe trachomatous scarring develop due to their lifelong abnormality in cellular immunity. In patients with leprosy, even when complicated by trachoma, simple measures to prevent or restore vision include medical treatment of leprosy, surgical correction of lid deformities, sector iridectomy for constricted pupils or central corneal opacities, and cataract extraction.</p>
PY - 1984
SP - 240
EP - 4
T2 - Archives of ophthalmology (Chicago, Ill. : 1960)
TI - Leprosy in a trachomatous population.
VL - 102
SN - 0003-9950
ER -