Lid surgery to reduce discomfort produces an unexpected improvement in visual acuity--a case presentation.
Indian J Lepr
;
1998 Jan-Mar; 70(1): 123-5
Artigo
em Inglês
| IMSEAR
| ID: sea-55066
ABSTRACT
A significant cause of blindness in leprosy is corneal scarring secondary to corneal anaesthesia and lagophthalmos (Brand & ffytche 1985). Such patients may continue to experience considerable ocular discomfort, particularly when there is associated ectropion of the lower lid, with inflammation of the exposed tarsal conjunctiva (Courtright & Johnson 1991). Where visual outcome is no longer the primary consideration, one may hesitate to subject patients to surgery, particularly in relatively unsophisticated field conditions, attempting instead to relieve the patient's discomfort by conservative treatment such as frequent topical ocular lubricants, use of protective spectacles or eye shades etc. A case is presented here in which minor surgery aimed solely at relieving ocular discomfort resulted in an unexpected improvement in visual acuity. This suggests that there are instances where a more aggressive approach to treatment of even severely damaged eyes could prove more rewarding than anticipated.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Soluções Oftálmicas
/
Humanos
/
Masculino
/
Acuidade Visual
/
Doenças Palpebrais
/
Pálpebras
/
Hanseníase
/
Pessoa de Meia-Idade
Idioma:
Inglês
Revista:
Indian J Lepr
Assunto da revista:
Tropical Medicine
Ano de publicação:
1998
Tipo de documento:
Artigo
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