Leprosy in a Trachomatous Population
| Autor: | Raga Malaty, Emad Nassar, Ivan R. Schwab, Chandler R. Dawson, Ahmed Korra, Armand Zarifa |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Cellular immunity genetic structures Population Visual Acuity Tuberculoid leprosy Blindness Hospitals Special Leprosy Ophthalmology Humans Medicine education Trichiasis Trachoma Lepromatous leprosy education.field_of_study business.industry Middle Aged medicine.disease eye diseases Egypt sense organs Phthisis bulbi business |
| Zdroj: | Archives of Ophthalmology. 102:240-244 |
| ISSN: | 0003-9950 |
| DOI: | 10.1001/archopht.1984.01040030190024 |
| Popis: | • In an Egyptian leprosy hospital, 17% of 133 patients had a visual acuity of less than 3/60. Corneal opacity, phthisis bulbi, and cataract accounted for 85% of blindness. Leprosy and trachoma together produce blinding corneal opacity by exposure, leprous keratitis, and trichiasis and entropion. Inturned lids, a late result of conjunctival scarring due to childhood trachoma, were less frequent in patients with lepromatous leprosy than in patients with tuberculoid leprosy; because conjunctival scarring from trachoma depends on cell-mediated immunity, patients with lepromatous leprosy may not have had severe trachomatous scarring develop due to their lifelong abnormality in cellular immunity. In patients with leprosy, even when complicated by trachoma, simple measures to prevent or restore vision include medical treatment of leprosy, surgical correction of lid deformities, sector iridectomy for constricted pupils or central corneal opacities, and cataract extraction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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