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Ophthalmic Images |

Ocular Leproma in Lepromatous Leprosy

Carly Seidman, BS; Vijay Khetpal, MD; Robert Janigian, MD
Arch Ophthalmol. 2010;128(12):1522. doi:10.1001/archophthalmol.2010.289.
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Figure 1.

A 22-year-old woman from the Cape Verde islands presented with a history of 2 months of pain and vision loss in the right eye; her visual acuity was 20/200. Examination revealed a vascularized solid anterior segment mass involving the conjunctiva and sclera located at 3 o’clock as well as granulomatous anterior uveitis (mutton fat keratic precipitates with a cellular reaction of 2+).

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Figure 1.

A 22-year-old woman from the Cape Verde islands presented with a history of 2 months of pain and vision loss in the right eye; her visual acuity was 20/200. Examination revealed a vascularized solid anterior segment mass involving the conjunctiva and sclera located at 3 o’clock as well as granulomatous anterior uveitis (mutton fat keratic precipitates with a cellular reaction of 2+).

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Figure 2.

A number of diffuse macular and nodular lesions were present on the patient's face, trunk, and extremities; hypesthesia was absent. Skin biopsy and subsequent Fite/acid fast staining (inset; original magnification ×40) highlighted numerous mycobacteria, consistent with lepromatous leprosy (Ridley-Jopling classification).

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