Leprosy in a trachomatous population.

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TitleLeprosy in a trachomatous population.
Publication TypeJournal Article
AuthorsSchwab IR, Nassar E, Malaty R, Zarifa A, Korra A, Dawson CR
Abbrev. JournalArch. Ophthalmol.
JournalArchives of ophthalmology (Chicago, Ill. : 1960)
Year of Publication1984
Publication Languageeng
KeywordsAdult, Blindness, Egypt, Hospitals, Special, Humans, Leprosy, Male, Middle Aged, Rural Population, Trachoma, Visual Acuity

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.

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Grant ListEY-00427 / EY / NEI NIH HHS / United States
EY-01597 / EY / NEI NIH HHS / United States
EY-07058 / EY / NEI NIH HHS / United States

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