Ophthalmic Presentations in Leprosy Patients in (South-Eastern) Nigeria

  • Chimdia E Ogbonnaya Department of Ophthalmology Ebonyi State University Teaching Hospital, Abakaliki
  • Lawrence U Ogbonnaya Department of Community Medicine & Primnamy Health Care, Ebonyi State University Teaching Hospital Abakaliki Nigeria
  • Udechukwu F Ezepue Department Of Ophthalmology, University Of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria
  • Nwabueze O Magulike Department Of Ophthalmology, University Of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria
Keywords: Leprosy, Leprotic eye lesions, non-leprotic eye lesions, surgical outreaches

Abstract

Objective: To determine the magnitude and pattern of ocular disorders and blindness among leprosy patients, presenting at three leprosy clinics in South —Eastern Nigeria.

Methodology: All the in- patients, as well as the out- patients that presented to the 3 leprosy clinics during the 2- month period of the study were examined. Altogether, 171 patients were studied. All data were entered into the computer and analyzed using the SPSS software package.

Results: Ocular examinations revealed that 60.2% of the patients had leprotic lesions. Other findings were cataract 24.6%; pterygium 24.6%; refractive errors 21.6%; glaucoma 12.3%; age- related macular degeneration 4.6%; presumed toxoplasmosis 1.2%; optic atrophy 1.2% and squint 0.6%.A total of 10.5% of patients were blind and 39.8% visually impaired. Cataract accounted for

55.6% blindness.

Conclusion: It is concluded that non- leprotic lesions, particularly cataract were responsible for most of the blindness. We recommend that ophthalmic surgeons should organize regular and periodic surgical outreaches to leprosy centers with the aim of dealing with non- leprotic causes of avoidable blindness in such centres.

Key Words: Leprosy, Leprotic eye lesions, non-leprotic eye lesions, surgical outreaches.

Orient Journal of Medicine Vol.16(3&4) 2004: 18-24
Published
2005-01-19
Section
Articles

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eISSN: 1115-0521