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Uveitic Glaucoma and Hansen's disease, A case report
Ana Roldan-Vasquez1,2, Estefania Roldan-Vasquez3,2, Ana M Vasquez2
1Massachusetts Eye and Ear, Boston, USA.
American Journal of Ophthalmology Case Reports
|May 20, 2021
Summary
Hansen's disease (leprosy) can cause atypical uveitic glaucoma, presenting diagnostic challenges. Early multidisciplinary intervention is crucial for managing this rare ocular manifestation of Mycobacterium leprae infection.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Dermatology
Background:
- Latin America and the Caribbean continue to face challenges with Mycobacterium leprae infections, despite a decrease in Hansen's disease cases.
- This case report highlights the diagnostic and management difficulties of atypical uveitic glaucoma secondary to Hansen's disease.
Observation:
- A 62-year-old female presented with a two-year history of anterior uveitis and ocular hypertension.
- Ocular examination revealed bilateral granulomatous anterior uveitis, cataracts, and mild glaucomatous damage.
- Post-cataract surgery, the patient developed skin plaques consistent with tuberculoid leprosy upon biopsy.
Findings:
- The patient was diagnosed with atypical glaucoma triggered by infectious uveitis caused by Mycobacterium leprae.
- The case demonstrates rare and nonspecific ocular and dermatological symptoms associated with leprosy.
Implications:
- This is the first reported case of leprosy-induced atypical glaucoma in Ecuador.
- Uveitis management necessitates a multidisciplinary approach due to potential underlying systemic diseases like Hansen's disease.
- Recognizing diverse clinical presentations of Mycobacterium leprae is vital for timely diagnosis and effective patient management.
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