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Dermatology · Leprosy: eye involvement
Sample itemWhich ocular complication in lepromatous leprosy results from invasion of the anterior segment by bacilli and may flare during erythema nodosum leprosum?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Iridocyclitis
Iridocyclitis occurs in lepromatous disease and can lead to synechiae, cataract and blindness, especially during ENL. Lagophthalmos and corneal anaesthesia are other causes of visual loss.
Option by option
A. Iridocyclitis (correct)
Correct. The cooler anterior segment is invaded by bacilli.
B. Retinal detachment
Retinal detachment is not a typical complication.
C. Glaucoma from steroid use only
Steroid-induced glaucoma is a treatment effect, not the primary complication described.
D. Papilloedema
Papilloedema reflects raised intracranial pressure.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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