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

• Published in: Indian journal of ophthalmology Vol. 68; no. 9; pp. 2031 - 2033
• Main Authors: Soni, Deepak, Sharma, Bhavana, Karkhur, Samendra
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.09.2020; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Angiography; angle granuloma; Anterior Chamber; anterior segment fluorescein angiography; anterior uveitis; Case Reports; Case studies; Cataracts; Cornea; Diagnosis; Drug therapy; Eye diseases; Eyelid Diseases; Fluorescein; Granuloma; Granuloma - diagnosis; Granulomas; Humans; Leprosy; leprosy granuloma; Leprosy, Lepromatous - complications; Leprosy, Lepromatous - diagnosis; Leprosy, Lepromatous - drug therapy; Lesions; Uveitis; India; leprosy; anterior segment fluorescein angiography; leprosy granuloma; anterior uveitis; Angle granuloma
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/ijo.IJO_1381_20

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.