• Arch Soc Esp Oftalmol · Sep 2002

    Case Reports

    [Bilateral lagophthalmos in lepromatous leprosy. Case report].

    • N Toledano Fernández, S García Sáez, A Arteaga Sánchez, and D Díaz Valle.
    • Hospital General de Móstoles, Madrid, España.
    • Arch Soc Esp Oftalmol. 2002 Sep 1; 77 (9): 511-4.

    Case ReportA 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.DiscussionOcular 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.

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