Anterior chamber angle granuloma: A rare ocular manifestation of histoid lepromatous leprosy

Indian J Ophthalmol. 2020 Sep;68(9):2031-2033. doi: 10.4103/ijo.IJO_1381_20.

Abstract

Leprosy is a chronic multisystem disease caused by Mycobacterium leprae with frequent ocular manifestations such as madarosis, lagophthalmos, lid abnormalities, impaired corneal sensations, chronic uveitis, and cataract. Granulomas are characteristic lesion of lepromatous leprosy commonly seen as conjunctival and iris granulomas. We report a case of leprosy with a rare ocular manifestation in the form of angle mass lesion or suspected granuloma which has not been reported before and its successful management following treatment with favorable outcome. The index case also highlights the anterior segment fluorescein angiography features of the lesion and study of its vascular pattern.

Keywords: Angle granuloma; anterior segment fluorescein angiography; anterior uveitis; leprosy; leprosy granuloma.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber
  • Eyelid Diseases*
  • Granuloma / diagnosis
  • Humans
  • Leprosy*
  • Leprosy, Lepromatous* / complications
  • Leprosy, Lepromatous* / diagnosis
  • Leprosy, Lepromatous* / drug therapy