TUBERCULAR LEPROSY 



men, but age shows no influence on the production of eye affections. 

 In tubercular leprosy the eye is attacked by genuine leprotic lesions, 

 and secondary infections are rare. 



The supraciliary region, as has already been mentioned, is early 

 attacked, and complete madarosis is not uncommon, and. later, 

 paralysis of the frontalis muscle sets in. The eyelids are often 

 attacked by diffuse or nodular lepromata, which may be -merely 



Fig. 727. — Leprosy, showing the'^Erysipelatous-like Eruption 

 ON THE Arms and Face. 



extensions from the disease already in the supraciliary region, 

 or may be quite distinct lesions. As a result of ulceration of these 

 nodules, the eyelids may be destroyed. 



The conjunctiva may be infiltrated, leading to hyperaemia, or, 

 more rarely, anaemia, and producing lagophthalmos, ectropion, and, 

 if cicatrization takes place, xerophthalmia. 



The episclera is apt to become infiltrated along the external 



