RESUMO
In Liberia, 43 eyes of 30 patients with ocular leprosy underwent cataract extraction; 33 eyes had extracapsular cataract extraction (ECCE) and 10 eyes had intracapsular cataract extraction (ICCE). ICCE was performed in eyes with poor visualization of the anterior chamber. In 95% of the eyes, the postoperative vision improved by 2 Snellen lines or more, but functional visual acuity (better than 20/200) was achieved in only 65% (82% post-ECCE and 10% post-ICCE). Fewer postoperative complications were observed after ECCE. These findings may have been related to less ocular involvement by leprosy preoperatively. ECCE should be attempted when the visualization of the anterior chamber is fair.
Assuntos
Extração de Catarata/estatística & dados numéricos , Catarata/etiologia , Infecções Oculares Bacterianas/complicações , Hanseníase/complicações , Acuidade Visual , Adulto , Extração de Catarata/efeitos adversos , Infecções Oculares Bacterianas/cirurgia , Feminino , Seguimentos , Glaucoma/tratamento farmacológico , Glaucoma/etiologia , Humanos , Irite/tratamento farmacológico , Irite/etiologia , Libéria , Masculino , Pessoa de Meia-Idade , Complicações Pós-OperatóriasRESUMO
The history of the treatment of lepra reaction has involved the trial of many different drugs; some have proven effective and some have not. The problem has been to find a treatment with minimal side effects. This paper deals with the treatments which have been tried and the success that has been achieved with talidomide.