Lagoftalmos bilateral en paciente con lepra lepromatosa. Caso clínico
- N. TOLEDANO FERNÁNDEZ
- S. GARCÍA SÁENZ
- A. ARTEAGA SÁNCHEZ
- D. DÍAZ VALLE
ISSN: 0365-6691
Argitalpen urtea: 2002
Alea: 77
Zenbakia: 9
Orrialdeak: 511-514
Mota: Artikulua
Beste argitalpen batzuk: Archivos de la Sociedad Española de Oftalmologia
Laburpena
Case report A case of bilateral facial palsy with paralytic ectropion, lagophthalmos and corneal damage secondary to corneal exposure in a long-standing patient with lepromatous leprosy is presented. Correction of paralytic ectropion was performed by medial cantoplasty, tarsal strip and Medpor® lower eyelid spacer implantation. Lagophthalmos was corrected by gold weight implant in the upper tarsus. Discussion Ocular findings in leprosy appear in 72% of patients. Facial nerve palsy occurs in 3-19.8%, being bilateral in 5%. In long standing cases with corneal complications secondary to exposure, surgical treatment is required (Arch Soc Esp Oftalmol 2002; 77: 511-514).