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January 1941

Clinical Aspects of Ocular Involvement in Lepers.

Arch Ophthalmol. 1941;25(1):179. doi:10.1001/archopht.1941.00870070193030

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This excellent monograph deals with the ocular manifestations of leprosy in the anterior segment of the eye, especially as seen with the slit lamp microscope. The author has had the opportunity of examining about 1,200 lepers with ocular symptoms and has made beautiful colored illustrations and stereoscopic photographs of the changes found. These give the book the value of an atlas of ocular leprosy. He describes first the lesions in the skin and eyelids and then reports in minute detail the involvement of the conjunctivosclera in the form of nodular lesions, local and diffuse. He does not believe in the existence of isolated conjunctivitis in leprosy.

The corneal changes are studied first on the surface : epithelial edema, vesicles, erosions and band-shaped keratitis. In the corneal stroma appear conspicuously thickening of the nerves and nodular lesions in the form of rosary beads or fine infiltrations around the nerves. As a rule

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