Cataract surgery in the management of the late complications of lepromatous leprosy in South Korea

Clinical examination of 113 patients in South Korea with lepromatous leprosy and severe visual impairment showed that the main cause of visual loss was the combined effect of corneal and lens opacities associated with small nonreacting pupils and iris atrophy. Cataract surgery with broad iridectomy...

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Bibliographic Details
Published in:British journal of ophthalmology 1981-04, Vol.65 (4), p.243-248
Main Author: Ffytche, T J
Format: Article
Language:English
Subjects:
Adult
Aged
Cataract - etiology
Cataract Extraction
Corneal Opacity - etiology
Female
Humans
Leprosy - complications
Leprosy - physiopathology
Leprosy - therapy
Male
Middle Aged
Visual Acuity
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Summary:Clinical examination of 113 patients in South Korea with lepromatous leprosy and severe visual impairment showed that the main cause of visual loss was the combined effect of corneal and lens opacities associated with small nonreacting pupils and iris atrophy. Cataract surgery with broad iridectomy and inferior sphincterotomy offers these patients with chronic lepromatous complications the best chance of preserving vision. Eighty-one cataract operations were performed under local anaesthesia, and in 90% vision improved; in 60% this improvement was 2 Snellen's lines or more.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.65.4.243