Hypopyon in leprosy uveitis.

The patient presented to an ophthalmologist 15 years after his initial diagnosis of Microbiology, Aravind histopathologically confirmed polar lepromatous (LL) leprosy. The treatment history revealed Eye Hospital, Madurai, discontinuation of the drugs prescribed for leprosy after one month of initiation because of recurrent episodes of erythema nodosum leprosum (ENL) and he was lost to follow-up from leprosorium. On general examination, the patient had malformation of fingers and toes with multiple tropic ulcers Correspondence: and hypopigmented skin lesions. Ocular examination revealed madarosis in both eyebrows. Right Sivakumar Rathinam, eye was normal with a visual acuity of 20/20 and intraocular pressure was 17 mm of Hg. Left eye had [email protected] a subconjunctival leproma, peripheral vascularization around the cornea and a leprosy granuloma over the iris. A 2 mm hypopyon and inflammatory cells were present in the anterior chamber [Figure 1]. His vision was 20/200 in the left eye and the intraocular tension was 17 mm of Hg. Endogenous endophthalmitis, HLA B27-related uveitis, tuberculosis, Behcet’s syndrome and leptospirosis were : 19-08-06 Review completed : 03-09-06 considered in the differential diagnosis of this hypopyon uveitis. A thorough systemic, ocular : 22-09-06 examination, complete blood count, biochemical, serological and radiological workup ruled out the