Andriantsoa-Rasoavelonoro V, Andrianjatovo J, Razafintsalama C
J Fr Ophtalmol. 1980;3(8-9):469-72.
250 leprous from National Leprosery of Manankavaly (distant of 30 km from Tananarive) were examined. Among them, 31 patients present ocular disease which occur with that of leper isn't accurately known. Conjuntival reactions as prickling, watering of the eyes with inability to assimilate wind light constitute initial symptoms. Cataract is exceptional (only one case); but we point out; first the superiority of "uveal tractus" disease with 32% of rate; then, the frequency of deep of interstitial keratitis (35%). These lesions are and seem to evolute freely in spite of Iper therapeutic and its stabilisation. So cured of leprosy patients two sided may come back because of the increasing of their ocular sickness. Due to lesion of anterior segment, eye fundus is difficult to analyse, but nervous disease may exist on optical papilla, considering the disproportion between the degrees of uveitis and sight alteration. Researching hansen Bacillus and other germs responsible of eye lesions, we sampled secretions of conjonctiva. We haven't anatome-pathological results because of failure of enucleated eye-ball. Leprosy ocular disease invariably end in blindness by eye-ball atrophy.
对来自马纳卡瓦利国家麻风病院(距塔那那利佛30公里)的250名麻风病人进行了检查。其中,31名患者患有眼部疾病,但其与麻风病的并发情况尚不清楚。结膜反应如刺痛、流泪且无法适应光线构成了初始症状。白内障较为罕见(仅1例);但我们指出,首先是“葡萄膜”疾病发病率较高,为32%;其次是深层间质性角膜炎发病率较高(35%)。尽管进行了治疗及其病情稳定,但这些病变似乎仍在自行发展。因此,双侧治愈的麻风病人可能会因眼部疾病加重而复发。由于前段病变,眼底难以分析,但考虑到葡萄膜炎程度与视力改变之间的差异,视神经乳头可能存在神经病变。为了研究汉森氏杆菌和其他导致眼部病变的病菌,我们采集了结膜分泌物样本。由于眼球摘除失败,我们没有解剖病理学结果。麻风性眼病最终总会因眼球萎缩而导致失明。