A woman in her early 60s treated for Hansen disease 20 years ago presented with diminution of vision in both eyes for the past year. Her best-corrected visual acuity was 6/24 OU. A moth-eaten pattern of iris atrophy was noted bilaterally (Figure). Iris atrophy has been reported1 to be the most common ocular lesion in chronic multibacillary leprosy (25% of patients), persisting despite adequate treatment (3% of patients). The patient’s lens showed cataractous changes in both eyes with a normal posterior segment as evidenced on B-scan ultrasonography. Corneal sensation measured with a Cochet-Bonne esthesiometer was 55 mm OD and 50 mm OS (mean [SD] normal sensation, 57.50 [3.41] mm).2 Clinical images (slitlamp and near-infrared autofluorescence photographs) showed a moth-eaten appearance of the iris in a case of resolved chronic bilateral anterior uveitis with decreased corneal sensation, which is probably a sequela of Hansen disease.3
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Corresponding Author: Padmamalini Mahendradas, DO, DNB, Department of Uveitis and Ocular Immunology, Narayana Nethralaya, 121/C Chord Rd, 1st R Block, Rajajinagar, Bangalore 560010, India (email@example.com).
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
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