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https://www.um.edu.mt/library/oar/handle/123456789/219
Title: | Ocular manifestations in lepromatous and tuberculoid leprosy |
Authors: | Blagojevic, Milan Soler, Richard Depasquale, George Bonnici, Mario R. Schiro, Denis |
Keywords: | Leprosy Leprosy -- Malta -- Case studies Eye -- Diseases -- Malta -- Case studies |
Issue Date: | 1990 |
Publisher: | Maltese Medical Journal |
Citation: | Maltese Medical Journal. 1990, Vol. 2(1), p. 37-40 |
Abstract: | Ocular manifestations of leprosy in 100 patients examined were reported on; -80% were suffering from the lepromatous type of the disease. The most frequent change was loss of eyebrows (40%) which was seen mainly in lepromatous patients. The sclera and cornea were rarely affected separately, but sclerokerato-iridocyclitis was found in 3%. On the other hand, the iris was involved rather more often -16% (atrophy of the iris -4, atrophy of the pupillary margin -3, miosis -1, posterior synechiae -6, keratic precipitates -1, and iris "pearls" -1). The iritis always had an insidious chronic evolution. The origin of the iritis is probably multifactorial: a) neuroparalytic due to involvement of the autonomic nerves supplying the iris muscles, primarily dilator; b) direct effect of Mycobacterium leprae on the iris tissue; and c) immune or auto-immune mechanisms. The posterior uvea was rarely affected (2%). No case of primary glaucoma was detected, but secondary glaucoma due to sclerokerato-iridocyclitis was found in 2 cases. Cataract seems to occur more frequently in leprosy patients (20%) than in the general population. The anterior segment was mostly affected (21%), and all these cases belonged to the lepromatous (16) or borderline lepromatous (5) type. |
URI: | https://www.um.edu.mt/library/oar//handle/123456789/219 |
Appears in Collections: | MMJ, Volume 2, Issue 1 MMJ, Volume 2, Issue 1 |
Files in This Item:
File | Description | Size | Format | |
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mmj020137.pdf | 4.53 MB | Adobe PDF | View/Open |
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