Skip to main content
PMC home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1981 Apr;65(4):243–248. doi: 10.1136/bjo.65.4.243

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

T J Ffytche
PMCID: PMC1039491  PMID: 7236567

Abstract

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.

Full text

PDF
243

Images in this article

244Image
on p.244
245Image
on p.245
245Image
on p.245
246Image
on p.246
246Image
on p.246

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALLEN J. H., BYERS J. L. The pathology of ocular leprosy. I. Cornea. Arch Ophthalmol. 1960 Aug;64:216–220. doi: 10.1001/archopht.1960.01840010218007. [DOI] [PubMed] [Google Scholar]
  2. Bouzas A. Observations prolongées sur l'application locale de la promine dans la lèpre oculaire. Arch Ophtalmol Rev Gen Ophtalmol. 1971 Aug-Sep;31(8):629–636. [PubMed] [Google Scholar]
  3. CAMERON A. N. Leprosy and its ocular manifestations. Trans Ophthalmol Soc U K. 1961;81:637–647. [PubMed] [Google Scholar]
  4. COCHRANE R. G. Leprosy in Korea. II. Lepr Rev. 1956 Jan;27(1):19–28. doi: 10.5935/0305-7518.19560004. [DOI] [PubMed] [Google Scholar]
  5. Choyce D. P. Diagnosis and management of ocular leprosy. Br J Ophthalmol. 1969 Apr;53(4):217–223. doi: 10.1136/bjo.53.4.217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Emiru V. P. Ocular leprosy in Uganda. Br J Ophthalmol. 1970 Nov;54(11):740–743. doi: 10.1136/bjo.54.11.740. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Ffytche T. J. Cataract surgery in leprosy patients. J R Soc Med. 1979 Nov;72(11):826–830. doi: 10.1177/014107687907201107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ffytche T. J. Role of iris changes as a cause of blindness in lepromatous leprosy. Br J Ophthalmol. 1981 Apr;65(4):231–239. doi: 10.1136/bjo.65.4.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. GIBSON J. B. G. Eye complications of leprosy. Med J Aust. 1950 Jan 7;1(1):8-11, illust. doi: 10.5694/j.1326-5377.1950.tb79976.x. [DOI] [PubMed] [Google Scholar]
  10. HOLMES W. J. Leprosy of the eye in South Korea. Int J Lepr. 1957 Apr-Jun;25(2):99–103. [PubMed] [Google Scholar]
  11. Hobbs H. E. Leprotic iritis and blindness. Int J Lepr Other Mycobact Dis. 1972 Oct-Dec;40(4):366–374. [PubMed] [Google Scholar]
  12. Hornblass A. Ocular leprosy in South Vietnam. Am J Ophthalmol. 1973 Mar;75(3):478–480. doi: 10.1016/0002-9394(73)91160-4. [DOI] [PubMed] [Google Scholar]
  13. KENNEDY P. J. Ocular manifestations in leprosy. Am J Ophthalmol. 1952 Sep;35(9):1360–1364. [PubMed] [Google Scholar]
  14. KIRWAN E. W. Ocular leprosy. Proc R Soc Med. 1955 Feb;48(2):112–117. [PMC free article] [PubMed] [Google Scholar]
  15. PINKERTON F. J. Leprosy of the eye, ear, nose and throat. Trans Pac Coast Otoophthalmol Soc Annu Meet. 1954;35:179–188. [PubMed] [Google Scholar]
  16. Wasfy I. A., Abdel-Rehim D el-D "Ocular leprosy in Assiut". Bull Ophthalmol Soc Egypt. 1971;64(68):299–327. [PubMed] [Google Scholar]
  17. Weerekoon L. Ocular leprosy in Ceylon. Br J Ophthalmol. 1969 Jul;53(7):457–465. doi: 10.1136/bjo.53.7.457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wood D. J. OCULAR LEPROSY. Br J Ophthalmol. 1925 Jan;9(1):1–4. doi: 10.1136/bjo.9.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES