A patient with leprosy who shows one or more physical findings should be referred to an ophthalmologist for evaluation. These criteria were reported at an ILEP supported meeting.
Parameters:
(1) lagophthalmos (any gap) on mild lid closure
(2) visual acuity
(3) red eye
(4) facial patch due to leprosy
Parameter
Finding
Points
lagophthalmos
absent
0
present
1
visual acuity
6/18 or better
0
< 6/18
1
red eye
absent
0
present for less than 2 weeks
0
present for >= 2 weeks
1
facial patch
absent
0
present
1
where:
• The visual acuity is at 18 meters (other visual acuity measurements use 60 feet as the reference distance).
total number of screening criteria present =
= SUM(points for all 4 parameters)
Interpretation:
• minimum number of screening criteria: 0
• maximum number of screening criteria: 4
• If 1 or more screening criteria are present, then the patient should be referred for an examination by an ophthalmologist.
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