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Ocular involvement in tuberculoid leprosy--a case report

F Daxecker1, C Staudacher

  • 1University Clinic for Ophthalmology and Optometry, University of Innsbruck, Austria. Franz.Daxecker@uibk.ac.at

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|January 1, 1997
PubMed
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.

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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.

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  • 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.