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OBJETIVO: Determinar a prevalência das alterações oculares em pacientes de hanseníase ativa ou inativa, acompanhados em serviço de referência. MÉTODOS: O estudo transversal constou de exame ocular e levantamento de dados demográficos e clínico-epidemiológicos, em serviço de referência da cidade de Rio Branco (Acre), no período de outubro de 2001 a abril de 2002. RESULTADOS: Foram examinados 254 pacientes, com média de idade de 41,9 anos; 70,1% do sexo masculino e 29,9% do feminino; 73,6% residentes da área urbana e 76,8% de formas multi e 23,2% de paucibacilares. Anormalidades de anexos oculares foram descritas em 49,6% (n=126) dos casos e do globo ocular em 39,4% (n=100) dos casos, sendo as mais freqüentes: hipoestesia corneana, catarata, madarose, manchas hipercrômicas, hipolacrimejamento e ceratite ponteada. As lesões oculares (74,4%) tiveram freqüências desiguais (r<0,0001), predominando entre aqueles com mais de 40 anos de idade (48,4% versus 26,0% nos de 40 anos ou menos), nos casos multibacilares (76,8% versus 23,2%), e nas pessoas com mais de cinco anos de duração da hanseníase (r<0,001). As alterações de globo ocular foram mais observadas em pacientes com tratamento específico concluído (r<0,05). CONCLUSÕES: A freqüência da morbidade ocular na hanseníase, em quase três quartos (74,4%) dos casos, foi semelhante à descrita na literatura para pacientes ambulatoriais de serviço de referência, e foi mais prevalente nas formas multibacilares da doença e em pacientes acima de 40 anos de idade. PURPOSE: To determine the prevalence of eye lesions in patients with active and non active leprosy who are being accompanied in a reference center. METHODS: The transverse study consisted of ocular examinations and the study of demographic and clinical-epidemiological data, in the reference center in the city of Rio Branco, AC (Brazil). The study was conducted between October of 2001 and April of 2002. RESULTS: Two hundred fifty-four patients were examined, the average age was 41.9 years, 70.1% were males and 29.9% females; 73.6% were from the urban area, 76.8% were of the multibacillary form and 23.2% were of the paucibacillary form. Abnormalities of the ocular annexes were observed in 49.6% of the patients (n=126) and of the ocular globe in 39.4% (n=100), the most frequent being hypoesthesia of the cornea, cataract, madarosis, hiperchromic patches, hypolacrimation, and punctate keratitis. The eye lesions (74.4%) had unequal frequencies (r<0.0001), being predominant among those older than 40 years (48.4%, against 26.0% in those under 40 years of age), multibacillary form (76.8% against 23.2% in the paucibacillary form), and in those with a leprosy history of more than 5 years (76.8% against 23.2% leprosy history of less than 5 years). Ocular globe alterations were more frequent in patients who had concluded specific treatments (r<0.05). CONCLUSIONS: The frequency of ocular morbidity in these leprosy patients, in almost three quarters (74.4%) of those examined in the outpatient clinics, appeared similar to that described in literature and was more frequent in the multibacillary form of the disease and in patients over 40 years of age

Alterações oculares na hanseníase, observadas em pacientes ambulatoriais do serviço de referência da cidade de Rio Branco, Acre - Brasil