RESUMEN
This study is based upon the observation f 363 leprosy patients having different types of the disease. At the time of the examination, we did not have any previous knowledge about the type of leprosy the patients were having. Thus, the eye examination was done without the knowledge of clinical diagnosis. The ocular examination protocol covered the following: visual activity, facial muscle function, eyebrows, eyelashes, lacrimal system, pupil, eye motility, corneal sensitivity, Schirmir's test and study of the anterior segment of the ocular bulb with a slit-lamp. The study patients included 275 cases of lepromatous leprosy, 57 tuberculoid, 29 indeterminate and two dimorphous cases. The age of the patients ranged between 18 and 82 years, and 229 of them were males. Among those patients, 183 were whites, 23 were black and 157 were mulatto.
Asunto(s)
Oftalmopatías/etiología , Lepra/complicaciones , Trastornos de la Visión/etiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Enfermedades de la Conjuntiva/etiología , Enfermedades de la Conjuntiva/patología , Enfermedades de la Córnea/etiología , Enfermedades de la Córnea/patología , Técnicas de Diagnóstico Oftalmológico , Oftalmopatías/diagnóstico , Oftalmopatías/epidemiología , Oftalmopatías/patología , Infecciones Bacterianas del Ojo/complicaciones , Cejas/patología , Femenino , Humanos , Enfermedades del Iris/etiología , Enfermedades del Iris/patología , Lepra/epidemiología , Lepra/etnología , Masculino , Persona de Mediana Edad , Reflejo Pupilar , Enfermedades de la Esclerótica/etiología , Enfermedades de la Esclerótica/patología , Trastornos de la Visión/diagnóstico , Trastornos de la Visión/epidemiología , Trastornos de la Visión/patología , Agudeza VisualRESUMEN
A survey of 121 leprosy patients in the Netherlands showed eye involvement in 20% of the patients, rising to 27% if madarosis and the adnexae are included. Iris atrophy was the main lesion encountered in BL and LL patients. One typical lepromatous fundus lesion was seen. No bilateral blindness occurred. Two eyes had a visual acuity of 3/60 due to intractable scleritis and acute iritis in LL with ENL. Seven eyes of 5 patients had a visual acuity of 0.2 to 3/60, mainly due to iris atrophy in lepromatous leprosy. Prevalence of blindness in our series was low as compared with the literature.