Ocular leprosy: socioeconomic aspects, clinico-surgical features and outcomes in the last decade
Accept poster if oral is not possible ?
Yes
Purpose
To determine the socioeconomic impact, clinical features, varied surgical interventions and outcomes of ocular leprosy in the last decade
Methods
It is a Retrospective single center study. Demographic details, ocular and systemic treatment, socioeconomic aspects, clinico-surgical profile and vision loss were assessed
Results
25 patients were recruited, 2 of which were diagnosed leprosy after ocular manifestation: Non-granulomatous anterior uveitis (NGAU) (n=12), nodular scleritis (n=6) and necrotizing scleritis (n=1). Mean age of patients was 56.2 years. Baseline and final follow up BCVA were 1.06 and 1.04 logMAR respectively. Diagnosed lepromatous leprosy were 4, while borderline lepromatous were 2, rest were undifferentiated.12 recruited cases required non surgical treatment, while 8 were managed surgically. 17 cases were economically underprivileged, while only 3 were economically privileged. 4 cases each belonged to World Health Organization based economic and socially blind category. Recurrence were accounted as NGAU-5, infectious scleritis-2 and staphyloma formation-1. Surgical interventions included posterior subtenon injection(n=5), scleral deroofing (n=1), corneal scraping/Tissue adhesive with bandage contact lens (n= 2), vitreous biopsy (n=2), EDTA chelation (n=1), cataract surgery (n=1).
Conclusion
Though leprosy is seen quite often during past decade, lepromatous blindness is on the rise, with multiple cases requiring surgical correction. Ocular manifestations can be diagnostic of systemic leprosy. As surgical numbers are found to be rising and concurrent significant vision loss on the uprise, these cases need to be seen with vigilance, with prompt surgical correction given as required.
Conflict of interest
No
1
Last name
JADHAV
Initials of first name(s)
V S
Department
Anant Bajaj Retina Institute and Uveitis Services
City
Visakhapatnam
Country
India
2
Last name
Kelgaonkar
Initials of first name(s)
A N
Department
Anant Bajaj Retina Institute and Uveitis Services
City
Bhubaneswar
Country
India
3
Last name
Basu
Initials of first name(s)
S
Department
Anant Bajaj Retina Institute and Uveitis Services
City
Hyderabad
Country
India
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