Author/Authors :
Kaushik, Jaya Department of Ophthalmology - Military Hospital Pathankot - Punjab, India , Jain, Vaibhav Kumar Department of Ophthalmology - Uttar Pradesh University of Medical Sciences (U.P.U.M.S.) - Saifai, Etawah, India , Parihar, Jitendra Kumar Singh Department of Ophthalmology - Army Hospital - Research and Referral - Delhi Cantt., India , Dhar, Sanjay Department of Ophthalmology - Army Hospital - Research and Referral - Delhi Cantt., India , Agarwal, Savita Department of Pathology - Uttar Pradesh University of Medical Sciences (U.P.U.M.S.) - Saifai, Etawah, India
Abstract :
Purpose: To report a case of lepromatous iridocyclitis that posed a diagnostic challenge.
Case Report: A 50‑year‑old male developed profound loss of vision in the right eye, while he was in the
hospital with septicemia presenting with fever, dysuria, and abdominal swelling. He also developed
erythema nodosum on the legs. Skin incisional biopsy section, upon dermatology consultation, showed
a granulomatous nodule in the dermis. The anterior chamber aspirate demonstrated lepra bacilli, which
confirmed the diagnosis of lepromatous leprosy with type II reaction. The patient was treated with multidrug
therapy and oral and topical steroids.
Conclusion: This case highlights that the lepromatous iridocyclitis, a serious vision‑threatening disorder
requires a high index of suspicion for prompt diagnosis in atypical cases particularly in endemic areas.
Examination of the aqueous humor can also be helpful in diagnosis.
Keywords :
Erythema Nodosum , Iridocyclitis , Lepromatous Leprosy , Leprosy , Uveitis
