Atypical keratic precipitates in a lepromatous leprosy patient

case report

Abstract

Paper design: Case report. Clinical relevance: Leprosy can lead to many abnormalities in the eyes, mainly in the anterior chamber, with high prevalence in undeveloped countries. Chronic iridociclitis and corneal lesions are the most frequent ocular alterations associated with leprosy frequently causing blindness. Comments: This report describes an atipical anterior chamber lesion caused by leprosy. Oval, about 2 mm brownish keratic precipitates, distributed in the inferior corneal endothelium, could be seen by slit lamp examination. These rare precipitates have not yet been described in the literature. The visual acuity of the patient was recovered after treatment , but the corneal alterations were still present. Epidemiological and ophthalmological considerations about Hansen disease were also reviewed

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