Current concepts in the surgical management of lagophthalmos in leprosy.
نویسندگان
چکیده
Existing data suggest that, at a minimum, 2% of paucibacillary patients and 5% of multibacillary patients have lagophthalmos; at least 290,000 people worldwide have leprosy-related lagophthalmos. Surgical intervention is the only method for correcting lagophthalmos; effectiveness of the different procedures commonly used has not been measured. Results from a survey of eye care providers revealed that surgeons in Asia used a wide range of different techniques for the correction of lagophthalmos while almost all of the surgeons in Africa used tarsorrhaphy. There is a need to evaluate surgical outcome of these techniques and to develop guidelines to assist in increasing the number of surgeries for lagophthalmos in leprosy patients.
منابع مشابه
Surgical treatment of bilateral paralytic lagophthalmos using scapha graft in a case of lepromatous leprosy.
Leprosy is a chronic and systemic infection caused by Mycobacterium leprae. According to the World Health Organization, the prevalence of leprosy registered at the beginning of 2008 stood at 212,802 cases. Thanks to anti-leprosy multidrug therapy the number of new cases detected globally has fallen. Lagophthalmos can appear in newly diagnosed lepromatous patients and in patients under anti-lepr...
متن کاملLiteratura Corrente / Current Literature
Lagophthalmos continues to be a serious problem in cured leprosy patients. We conducted a population-based survey of lagophthalmos surgical coverage (LSC), barriers to lagophthalmos surgery and outcome of lagophthalmos surgery in leprosy patients in South Korea. In our survey, there were 60 patients with lagophthalmos who had needed surgery (> 5 mm gap), 34 of whom had received surgery, resulti...
متن کاملLagophthalmos surgery in leprosy: findings from a population-based survey in Korea.
Lagophthalmos continues to be a serious problem in cured leprosy patients. We conducted a population-based survey of lagophthalmos surgical coverage (LSC), barriers to lagophthalmos surgery and outcome of lagophthalmos surgery in leprosy patients in South Korea. In our survey, there were 60 patients with lagophthalmos who had needed surgery (> 5 mm gap), 34 of whom had received surgery, resulti...
متن کاملGold weight implants in the management of lagophthalmos in leprosy patients.
OBJECTIVES To evaluate the use of gold weights as upper lid implants in the management of lagophthalmos due to facial nerve affection in leprosy patients. DESIGN Gold implants of various weights were inserted in the upper eyelids of 12 patients with leprosy. Pre- and post-operative lid closures were recorded and patients were followed up for 1 year. RESULTS Despite early satisfactory result...
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عنوان ژورنال:
- Leprosy review
دوره 66 3 شماره
صفحات -
تاریخ انتشار 1995