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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2020, Cilt 34, Sayı 1, Sayfa(lar) 021-024
[ Turkish ] [ Tam Metin ] [ PDF ]
Evaluation of the Anterior Segment of the Eye Through a Corneal Topograhic Analysis in Leprosy Patients
Yavuz ORUÇ
University of Health Sciences, Elazig Fethi Sekin City Hospital, Department of Ophthalmology, Elazığ, TURKEY
Keywords: Leprosy, cornea topography

Objective: The present study evaluates the anterior chamber volume, anterior chamber angle, anterior chamber depth and pupil diameter using a corneal topographic analysis method in a group of leprosy patients. A further evaluation is made of intraocular pressure using a Goldman applanation tonometer.

Materials and Methods: The study included 46 eyes of 25 patients with leprosy and 44 eyes of 22 patients as the control group. Following an ophthalmological examination of the patients, a segment analysis was carried out using a corneal topographic method, while a Goldman applanation tonometer was used to track the changes in intraocular pressure.

Results: A significant increase was identified in anterior chamber depth and anterior chamber angle in the leprosy group when compared to the control group. The changes in intraocular pressure were not significantly different between the two groups. Although anterior chamber volume was seen to increase in the control group, this increase was not significantly different to that noted in the leprosy group. Furthermore, there was a greater decrease in pupil diameter in the leprosy group, although when compared to the control group, the difference in increase was not statistically significant.

Conclusion: The present study identified a significant increase in the anterior chamber depth and anterior chamber angle values in the patients with leprosy. The authors believe the findings of the present study should be considered when evaluating patients with leprosy for possible glaucoma. The present study revealed also that parameters such as anterior chamber depth, anterior chamber angle and anterior chamber volume, which cannot be objectively evaluated upon a physical examination, and a slit lamp examination for such clinical conditions as lagophthalmos, ectropion, entropion and ptosis, but which can be evaluated through a corneal topographic analysis, can be found to be affected in patients with leprosy.


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