[Bilateral lagophthalmos in lepromatous leprosy. Case report].
METHODS
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.


CONCLUSIONS
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.
Toledano Fernández
N
N
Hospital General de Móstoles, Madrid, España.
García Sáez
S
S
Arteaga Sánchez
A
A
Díaz Valle
D
D
D000368:Aged; D004483:Ectropion / Q000209:etiology / Q000601:surgery; D005141:Eyelid Diseases / Q000209:etiology* / Q000601:surgery; D005154:Facial Nerve / Q000503:physiopathology; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006046:Gold; D016701:Guinea / Q000208:ethnology; D006801:Humans; D015440:Leprosy, Lepromatous / Q000150:complications*; D020959:Polyethylene; D019736:Prostheses and Implants
D006046:Gold; D020959:Polyethylene