Lagoftalmos bilateral en paciente con lepra lepromatosa. Caso clínico

1. N. TOLEDANO FERNÁNDEZ
2. S. GARCÍA SÁENZ
3. A. ARTEAGA SÁNCHEZ
4. D. DÍAZ VALLE

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Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

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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).

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