Ocular Involvement in Tuberculoid Leprosy – A Case Report
作者:
Franz Daxecker,
Christine Staudacher,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 5
页码: 305-307
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310814
出版商: S. Karger AG
关键词: Tuberculoid leprosy;Superficial punctate keratitis;Anterior uveitis;Secondary glaucoma
数据来源: Karger
摘要:
Leprosy is rarely diagnosed in our part of the world. In our 26-year-old patient, borderline lepromatous leprosy was first diagnosed in 1992 and was treated with Rifoldin®, Lemprene® and Dapson® according to the standard WHO sheme of treatment. Ophthalmic examination showed minor epithelial lesions of the cornea in both eyes, a reduced corneal reflex in the left eye and a scleral leproma nasally and close to the limbus, also in the left eye. In 1995, the patient was examined again and was treated as above for lepromata of the left eyebrow nasally and of both lower legs. Ophthalmic examination revealed conjunctival irritation, anterior uveitis with leprosy pearls on the pupillary margin and secondary glaucoma. The glaucoma was treated with hypotonics, the uveitis was treated with topical cortisone. The intra-ocular pressure normalised and the uveitis improved. Of the two main types of leprosy, lepromatous leprosy and tuberculoid leprosy, our patient had the second, milder form.
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