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Trachomatous trichiasis and its management in endemic countries.

Abstract

Trichiasis is the sight-threatening consequence of conjunctival scarring in trachoma, the most common infectious cause of blindness worldwide. Trachomatous trichiasis is the result of multiple infections from childhood with Chlamydia trachomatis, which causes recurrent chronic inflammation in the tarsal conjunctiva. This produces conjunctival scarring, entropion, trichiasis, and ultimately blinding corneal opacification. The disease causes painful, usually irreversible sight loss. Over eight million people have trachomatous trichiasis, mostly those living in poor rural communities in 57 endemic countries. The global cost is estimated at US$ 5.3 billion. The WHO recommends surgery as part of the SAFE strategy for controlling the disease.We examine the principles of clinical management, treatment options, and the challenging issues of providing the quantity and quality of surgery that is needed in resource-poor settings.

More information

Type
Journal Article
Author
Rajak SN
Collin RJ O
Burton MJ
Year of Publication
2012
Journal
Survey of ophthalmology
Volume
57
Issue
2
Number of Pages
105-35
Language
eng
ISSN Number
1879-3304
DOI
10.1016/j.survophthal.2011.08.002
Alternate Journal
Surv Ophthalmol
Publication Language
eng

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