Estudo das alteraçoes oculares em hansenianos de controle ambulatorial / ?

ABSTRACT

We examined 997 leprous outpatients, 528 of wich (53,0 por cento) were of the lepromatous type 199 (20,0 por cento) of the borderline type, 167 (16,8 por cento) of the tuberculoid type and 103 (10,3 por cento) of the indeterminate type. 579 (58,1 por cento) were male and 418 (41,9 por cento) were female, 314 patients (31,5 por cento) showed ocular adnexa lesions and 389 (39,0 por cento) showed ocular lesions. Ocular manifestations were more common in lepromatous leprosy and increased according to the age of the patients and the duration of disease. Evebrow madarosis (211 cases, 21,2 por cento) was the commonest lesion of the adnexa and iris atropy (255 cases, 25,6 por cento), the commonest ocular lesion. Sight threatening lesion, such as lagophtalmos (2 cases, 1,2 por cento), corneal anesthesia (121 cases, 12,1 por cento) and corneal ulcers (2 cases, 0,2 por cento), acute iritis (2 cases, 0,2 por cento) and chronic iritis (6 cases, 0,6 por cento) were rare findings. This low incidence of sight threatning lesions was in part considered to be due to the early systemic treatment