Lamba P A, Rohatgi J
Department of Ophthalmology, Lady Hardinge Medical College, New Delhi.
Indian J Lepr. 1990 Apr-Jun;62(2):186-92.
Corneal affections cause severe ocular morbidity in leprosy. Poor nutrition and low socio-economic status make the eyes prone to repeated secondary infections which makes the pattern of corneal disease in this country different from that reported in western literature. A study of 250 patients shows that leprotic keratopathy has 4 different patterns. Primary leprous keratitis was seen in 56.5% of cases, while secondary leprous keratitis (groups B, C & D) constituted 57.7%. In the latter group the ocular morbidity could be prevented by controlling infection and prevention of concomitant diseases. Cases of lepromatous leprosy showed a consistently higher incidence of different types of corneal involvement than tuberculoid cases.
角膜病变在麻风病中会导致严重的眼部疾病。营养不良和社会经济地位低下使眼睛容易反复发生继发性感染，这使得该国角膜疾病的模式与西方文献中报道的不同。对250名患者的研究表明，麻风性角膜病有4种不同模式。原发性麻风性角膜炎见于56.5%的病例，而继发性麻风性角膜炎（B、C和D组）占57.7%。在后一组中，通过控制感染和预防伴发疾病可以预防眼部疾病。瘤型麻风病例中不同类型角膜受累的发生率始终高于结核样型病例。
