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Ocular involvement in tuberculoid leprosy--a case report
1University Clinic for Ophthalmology and Optometry, University of Innsbruck, Austria. Franz.Daxecker@uibk.ac.at
Summary
This case study details a rare diagnosis of borderline lepromatous leprosy in a 26-year-old patient. The study highlights the ophthalmic manifestations and successful treatment of leprosy complications.
Area of Science:
- Ophthalmology
- Dermatology
- Infectious Diseases
Background:
- Leprosy, a chronic infectious disease, is infrequently diagnosed in many regions.
- This report focuses on a rare case of borderline lepromatous leprosy.
Observation:
- A 26-year-old patient presented with initial diagnosis of borderline lepromatous leprosy in 1992.
- Ophthalmic findings included corneal lesions, reduced corneal reflex, and scleral leproma.
- Recurrence in 1995 led to conjunctival irritation, anterior uveitis with leprosy pearls, and secondary glaucoma.
Findings:
- The patient received standard WHO multidrug therapy (Rifoldin, Lemprene, Dapson).
- Ophthalmic conditions, including secondary glaucoma and uveitis, were managed with hypotonics and topical corticosteroids.
- Treatment resulted in normalized intra-ocular pressure and improved uveitis.
Implications:
- This case underscores the importance of recognizing and managing ocular complications associated with leprosy, even in low-prevalence areas.
- Prompt diagnosis and appropriate treatment are crucial for preventing vision loss.
- The case highlights the effectiveness of standard leprosy treatment regimens and supportive ophthalmic care.