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Paper Information

Journal:   MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES   Winter 2001 , Volume 43 , Number 70; Page(s) 18 To 22.
 
Paper: 

STUDY THE RESULTS OF CATARACT OPERATION BY USING ARTIFICIAL LENSE IN LEPROTIC PATIENTS

 
 
Author(s):  DERAKHSHAN A.*
 
* 
 
Abstract: 

Background: Regarding considerable leprosy population, as one of leprosy surveillance centers in Iran, we concernce ocular & orbital manifestations of the leprosy (Especially cataract) among Non-institutionalized patients attending the ophthalmologic clinics in Mashhad University of Medical Sciences.
Material & Method: In a clinical trial 18 leprosy patients with cataracted eyes (n=20) I operated with extracapsular cataract extraction + intraocular lens (ECCE + IOL) method. Patients had complete ophthalmologic exam before surgery and 1, 3, 7 days, 3 month & 1 year after that. All patients received chloramphenical and betamethasone after surgery.
Results: Visual acuity (V.A) Before surgery was light perception (LP) to 1.10 other ocular and orbiatal manifestations: lagophthalmus: 50% eyebrow lesion 72.4%, eyelash lesion 88.9%, entropion 25%, trichiasis 25%, corneal hyposthesia 50%, corneal infiltration 50%, pannus 75%, partial corneal opacity 35%, total corneal opacity 35%, inferior corneal opacity 55%, corneal neovascularization 45%, posterior synechia 30%, iris atrophy 80%, increased intra ocular pressur 5%.
After surgery, VA improved in all cases: 55% (5/10-8/10) in 25% to (1/10-5/10) & in 10%, 5 meters count finger.
IOL tolerated well & inflammation was minimal and acceptable.
Discussion: It seems fair & satisfying adopt to the "ECCE + IOL" surgery as a standard Cataract management in leprosy patients.

 
Keyword(s): LEPROSY, CATARACT, INTRA OCULAR LENS
 
References: 
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