Hogeweg M, Leiker D L
Doc Ophthalmol. 1983 Dec 15;56(1-2):69-76. doi: 10.1007/BF00154711.
A survey of 121 leprosy patients in the Netherlands showed eye involvement in 20% of the patients, rising to 27% if madarosis and the adnexae are included. Iris atrophy was the main lesion encountered in BL and LL patients. One typical lepromatous fundus lesion was seen. No bilateral blindness occurred. Two eyes had a visual acuity of 3/60 due to intractable scleritis and acute iritis in LL with ENL. Seven eyes of 5 patients had a visual acuity of 0.2 to 3/60, mainly due to iris atrophy in lepromatous leprosy. Prevalence of blindness in our series was low as compared with the literature.
对荷兰121例麻风患者的一项调查显示，20%的患者有眼部受累情况，若将睫毛脱落和附属器受累包括在内，则这一比例升至27%。虹膜萎缩是瘤型和界线类偏瘤型患者中遇到的主要病变。观察到一种典型的麻风性眼底病变。未发生双侧失明。在界线类偏瘤型伴结节性红斑的瘤型麻风患者中，有2只眼因难治性巩膜炎和急性虹膜炎导致视力为3/60。5例患者的7只眼视力为0.2至3/60，主要原因是瘤型麻风中的虹膜萎缩。与文献相比，我们系列研究中的失明患病率较低。
