Original Research Article
Year: 2023 | Month: June | Volume: 10 | Issue: 6 | Pages: 6-14
DOI: https://doi.org/10.52403/ijrr.20230602
Ocular Manifestations of Lepromatous Leprosy
Narendra V1, Sridevi V2, Manavalan S3, Kaviarasan P.K4, Ramya M5, Nithya M6
1Postgraduate, Department of Ophthalmology, RMMCH, Annamalai University
2Professor and Head, Department of Ophthalmology, RMMCH, Annamalai University
3Professor, Department of Ophthalmology, RMMCH, Annamalai University
4Professor and Head, Department of Dermatology, Venerology & Leprosy, RMMCH, Annamalai University
5Senior Resident, Department of Ophthalmology, RMMCH, Annamalai University
6Senior Resident, Department of Ophthalmology, RMMCH, Annamalai University
Corresponding Author: Narendra V.
ABSTRACT
This study was done during the study period November 2020 to September 2022, during which 47 patients of leprosy were examined of whom 36 were Lepromatous leprosy in Ophthalmology department if Rajah Muthiah Medical College and Hospital. In our study 80.06% of Lepromatous leprosy patients had ocular manifestations, of whom maximum prevalence was present in 61-75 age group. The major ocular manifestations present were Madarosis (61.11%), Iridocyclitis (50%), Lagophthalmos (11.11%), corneal anesthesia (22.22%), corneal Hypoesthesia (16.67%), exposure keratitis (8.33%) and corneal opacity (8.33).
BCVA- 3/60 to PL (U/L) – 18.06%
BCVA- 3/60 to PL (B/L)- 2.8%
Most of the patients of Lepromatous leprosy had Bilateral Polyneuropathy. The most common nerve affected in Lepromatous leprosy was found to be ulnar nerve and Radial cutaneous nerve. The ocular symptoms occurred more in patients of WHO grade 2 Disability than grade 2 or grade 1. Ocular symptoms occurred mostly in patients who completed Leprosy treatment.
Keywords: Lepromatous leprosy, ocular manifestations, leprosy.
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