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ARTICLES
Year : 1972  |  Volume : 20  |  Issue : 1  |  Page : 23-24

An indigenous drug in the treatment of acute iridocyclitis in leprosy patients : A study in 13 patients


Dr. L. Sen Memorial Leprosy Hospital and Settlement, Asansol, West Bengal, India

Correspondence Address:
S K Kundu
Dr. L. Sen Memorial Leprosy Hospital and Settlement, Asansol, West Bengal
India
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Source of Support: None, Conflict of Interest: None


PMID: 4677506

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How to cite this article:
Kundu S K. An indigenous drug in the treatment of acute iridocyclitis in leprosy patients : A study in 13 patients. Indian J Ophthalmol 1972;20:23-4

How to cite this URL:
Kundu S K. An indigenous drug in the treatment of acute iridocyclitis in leprosy patients : A study in 13 patients. Indian J Ophthalmol [serial online] 1972 [cited 2019 Aug 23];20:23-4. Available from: http://www.ijo.in/text.asp?1972/20/1/23/34673

Leprosy is fairly common in Bankura, Burdwan, Purulia and Midnapore districts of West Bengal, in Orissa, Andhra Pradesh, parts of Tamil Nadu, Maharashtra, and Madhya Pradesh. Ophthalmo­logists practicing in these areas often come across patients with a serious ocular complication in leprosy, which, if left untreated, leads to permanent blindness. Thanks to the modern treatment of leprosy with the Sulphone group of drugs, eye complications are now much less in number and serious ness than it was before.

MacLean and others have shown by slit-lamp examination that limbal infiltration and beading of the corneal nerves are found in fairly large number of patients even in the early stages of the disease. Cutaneous nodules on the lids, lagophthalmos, conjunctivitis, superficial and interstitial keratitis, lepromatous lesions in the sclera, granulomatous uveitis are often observed. But the commonest com­plication found is the involvement of the iris and Ciliary body, which can occur in either of the following forms

  1. Miliary leproma or iris pearls,
  2. Nodular leproma,
  3. Chronic or acute iridocyclitis,


It is this acute iridocyclitis, which comes abruptly or ne­glected chronic iridocyclitis which leads to blindness.

This condition occurs in case of lepromatous type of leprosy and this can occur as a symptom of "REACTION" or independently.

Treatment of such cases of iridocyclitis is done on the follow­ing lines

  1. Atropine sulphate 1 % drops or ointments,

    (In some acute cases Mydri­caine is injected subconjunc­tivally)
  2. Antibiotic-drops on ointments,
  3. Corticosteroid-drops or oint­ments topically and tablets orally,
  4. Vitamin C 500 mg. 1 tab. daily,
  5. Analgesics.


In this series 13 patients were taken up for treatment of acute cases of iridocyclitis as a complica­tion of lepromatous leprosy in which 7 were cases with "Reaction".

In all these cases the treatment mentioned above was given, but in one group of 7 patients, in addition to the above treatment, an indigen­ous drug CAPYNA COMPOUND* not get this drug.

All these patients were males in the age group of 28 to 45 years. The signs and symptoms were al­most the same in all these cases, except that the intensity of pain varied from patient to patient. The result of this study is tabulated below

Group A - 7 patients.

(Those who were given Capyna Comp.)

With Lepra Without Lepra

Reaction : Reaction :

Result$ - 4 Cases - 3 Cases

Very good - 4 cases - 2 cases

Good _- 1 case

Poor _-_

Group B - 6 patients.

(Those that did not get Capyna Comp.)

With Lepra Without Lepra

Reaction : Reaction

3 Cases - 3 Cases

1 case - nil

2 cases - 2 cases

_- 1 case

$Result is judged by the disappear­ence of signs and symptoms as follows:

Very good : Pain subsided, con­junctival congestion and ciliary in­jection markedly diminished Pupil well dilated, tension normalised within 2/3 days.

Good : Above improvement noted after 5/6 days of treatment.

Poor : Pain subsided, conjunctival cogestion etc. disappeared, but cyclitic membrane formed. causing diminished vision.

The results were assessed through a blind control, in the sense that the physician who observed the cases from day to day was not aware of the group he was dealing with.


  Summary Top


13 cases of Acute iridocyclitis as a complication of lepromatous leprosy were treated in the usual way, but 7 of them were given in addition, an indigenous drug Capyna compound. This drug seems to have a good action in such cases. The drug was well tolerated[5].

 
  References Top

1.
Birchn Emergencies in Medical Practice, 1956.  Back to cited text no. 1
    
2.
Dharmendra : Notes on Leprosy, 1960.  Back to cited text no. 2
    
3.
Hisakohibi : Findings in the leprous Cornea with Slit-lamp Microscopy,-Int. J. of Leprosy Vol. 24, No. 2, 1956.  Back to cited text no. 3
    
4.
Wardekar. R. V.: Hints on Diagnosis & Treatment of Leprosy, 1966.  Back to cited text no. 4
    
5.
Basu, R. N.: Eye complications in Leprosy. Leprosy in India, Oct., 1963.  Back to cited text no. 5
    




 

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