01760nas a2200301 4500000000100000008004100001260001700042653002800059653002000087653001100107653001100118653001000129653002800139653002800167653000900195653001400204653002500218653001800243100001500261700001800276700001400294245006100308300000800369490000700377050003200384520102800416022001401444 2009 d c2009 Jan-Mar10aCross-Sectional Studies10aEyelid Diseases10aFemale10aHumans10aIndia10aLeprosy, Multibacillary10aLeprosy, Paucibacillary10aMale10aMorbidity10aMycobacterium leprae10aVisual Acuity1 aKhandpur S1 aRobertson S J1 aRao P S S00aOcular morbidity in leprosy patients with lagophthalmos. a1-40 v81 aInfolep Library - available3 a
Lagophthalmos is a well known complication in leprosy due to the involvement of seventh cranial nerve resulting in incomplete closure of the eyelids. The real magnitude of ocular morbidity as a consequence of lagophthalmos is unknown, as several ocular complications can occur independently due to involvement of the fifth (trigeminal) nerve or due to secondary infection. Therefore, a study was designed to carefully examine the eyes of 100 consecutive leprosy patients with lagophthalmos seeking treatment at a leprosy referral centre in Delhi. Among the eyes examined, 145 had lagophthalmos. The symptomatology and anterior-posterior chamber morbidity in eyes with lagophthalmos were significantly higher as compared to unaffected eyes. Significantly, higher morbidity was seen regardless of sex or type of leprosy or deformity. Capacity building of the health professionals regarding ocular morbidity and increased emphasis on the importance of self care among patients can significantly reduce ocular morbidity.
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