Girma T, Mengistu F, Hogeweg M
Ophthalmic Department, All Africa Leprosy and Rehabilitation Training Centre, Addis Ababa, Ethiopia.
Lepr Rev. 1996 Dec;67(4):318-24. doi: 10.5935/0305-7518.19960032.
Cataract is a blinding disease occurring all over the world. One of the causes of cataract is leprosy. Sixty leprosy and 100 nonleprosy patients were assessed and underwent intracapsular cataract extraction. Leprosy patients with cataract were much younger than nonleprosy patients. The leprosy group had a significantly higher rate of complications and this was seen more in paucibacillary cases. There was a higher rate of visual disability in the leprosy group than in the nonleprosy group. Cataract was seen in younger patients in the leprosy group. This raised the possibility of leprosy being the cause of the cataract. The leprosy group consisted mostly of multibacillary cases, however unlike in other studies the rate of complications tended to be higher in the paucibacillary group. There were no preoperative findings that correlated with a low postoperative intraocular pressure.
白内障是一种在全球范围内都会出现的致盲性疾病。白内障的病因之一是麻风病。对60名麻风病患者和100名非麻风病患者进行了评估，并实施了囊内白内障摘除术。患有白内障的麻风病患者比非麻风病患者年轻得多。麻风病组的并发症发生率显著更高，且在少菌型病例中更为常见。麻风病组的视力残疾率高于非麻风病组。在麻风病组中，白内障多见于年轻患者。这增加了麻风病是白内障病因的可能性。麻风病组大多为多菌型病例，然而与其他研究不同的是，少菌型组的并发症发生率往往更高。术前没有发现与术后低眼压相关的情况。
