The literature of ocular leprosy in the United States during the past few decades has for the most part consisted of scattered case reports. Thus, Yudkin,1 Lane,2 Levitt,3 Horton,4 Rogers,5 Crebbin6 and Pfingst7 have contributed observations. Pinkerton8 and Van Poole9 have presented valuable findings on lepers from the Hawaiian Islands. This scarcity of literature can be attributed to the fact that few ophthalmologists in this country have studied leprosy, owing to its relative infrequency (about 1,000 estimated cases in the United States). Also, ocular lesions of leprosy have proved so resistant to treatment that this field has been termed by some a hopeless branch of ophthalmology. Blindness is the most dreaded complication of persons afflicted with leprosy, and observations at the national leper colony readily convince one of this fact and make one realize the problem confronting officials in countries where