The changing face of leprosy

To prematurely consign leprosy to the history books guarantees unnecessary future morbidity In ophthalmology, we face the additional challenge of convincing our non-ophthalmic professional colleagues of the need for dedicated specialist resources for optimum prevention of blindness strategies in leprosy. Since much of the early ophthalmic morbidity in leprosy is asymptomatic, reliance on the patient to report problems, or on a cursory look at the eyes while charting skin lesions or testing muscle function, is far from adequate. [...]complications are associated with borderline disease (Ridling Jopling classification), 6 and with commencement of MDT, as the results of this study show.