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  • Title: [Bilateral lagophthalmos in lepromatous leprosy. Case report].
    Author: Toledano Fernández N, García Sáez S, Arteaga Sánchez A, Díaz Valle D.
    Journal: Arch Soc Esp Oftalmol; 2002 Sep; 77(9):511-4. PubMed ID: 12221544.
    Abstract:
    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.
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