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Publication

Leprosy in a trachomatous population.

Abstract

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.

More information

Type
Journal Article
Author
Schwab I R
Nassar E
Malaty R
Zarifa A
Korra A
Dawson C R
Year of Publication
1984
Journal
Archives of ophthalmology (Chicago, Ill. : 1960)
Volume
102
Issue
2
Number of Pages
240-4
Date Published
1984 Feb
Language
eng
ISSN Number
0003-9950
DOI
10.1001/archopht.1984.01040030190024
Alternate Journal
Arch. Ophthalmol.
Publication Language
eng