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제목 |
Clinical Study of Ocular Complications in Leprosy |
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저자 |
Jae Duck Kim, Sung Kang Moon, Yong Sung Yang |
소속 |
Dept. of Ophthalmology, Womkwang University School of Medicine, Iksan, Korea |
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년도 |
1998 |
권 |
31 |
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호 |
1 |
번호 |
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시작페이지 |
75 |
끝페이지 |
81 |
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첨부 |
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요약 |
Although the population of leprosy patients in Korea is declining, there are still many
patients who suffer from local and systemic complications. Ocular involvement of leprosy
is significantly high and leads to a disabled eye. Most of the patients who suffer from
ocular complications may maintain their vision with adequate treatment, but they are
ignored of good quality treatment due to lack of interest from ophthalmologists.
Therefore the authors set this study out to evaluate the ocular complications of leprosy
and studied retrospecitively from their medical record reviews on 1,742 eyes of 876
patients to help prevent complications and provide some information for the ocular
rehabilitation of the patients.
The study results were as follows. Most of the patients (450 patients, 51.4%) were
over 60 years of age showing longevity. Visual loss was found in 244 eyes (14%)
among these unilateral loss in 160 patients(18.3%) and bilateral loss in 42 patients(4.8%).
Ocular findings were chronic initis in 585 eyes (33.6%), chronic conjunctivitis 453
eyes(26%), senile cataract 340 eyes (19.5%)m exposure keratitis 200 eyes (11.5%),
lagophthalmos 182 eyes (10.4%), complicated cataract 148 eyes (8.5%), corneal opacity
138 eyes (7.9%), trichiasis 127 eyes, phthisis bulbi and anophthalmos 85 eyes, ectropion
67 eyes, entropion 44 eyes, corneal ulcer 33 eyes and others. A total of 2,936 ocular
signs were showed in reviewed 1,742 eyes and one eye had an average of 1.7 ocular
singns.
We conclude that most of leprosy patients live with ocular complications and many of
them can benefit through eyelid or cataract surgery to maintain or recover their visual
function. |
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내용 |
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