Incidence and Management of Ocular Complications/Manifestations in Leprosy Patients Who Are Attending To a Tertiary Care Hospital

A prospective and descriptive study on ocular manifestations of leprosy and its management was conducted at Department of ophthalmology, Narayana Medical College & Hospital, Nellore, Andhra Pradesh. This study was conducted with 46 leprosy patients with ocular manifestations were analyzed. The ocular manifestations were predominantly (91.66%) seen after treatment. Ocular involvement is bilateral in greater number (79.16%) of cases except in some cases (lagophthalmos, scleritis, episcleritis), where unilateral involvement is more common. Madrosis is the most common adnexal manifestation observed. Lagophthalmos is most common sight threatening adnexal condition. Decreased corneal sensations are observed in (45.83%) nearly half of cases. Exposure keratitis is most common (20.83%) corneal condition. Acute and chronic anterior uveitis are seen equally, which are granulomatous uveitis in all cases. Corneal involvement is seen in 29.16% of patients. Uveal involvement is seen in 20.83% of patients. Majority of the patients had normal fundus. At the time first presentation, most of the cases (62.50%) are having normal vision according to WHO gradings. 70% of various ocular inflammations are responded well to medical treatment. 33.33% of cases came for no follow up .45.83% of cases came for 1 -2 follow ups. Only 20.83% of cases came for 3 -5 follow ups. Treatment response was considered in patients who came for at least 3 follow ups.