Trachomatous trichiasis and its management in endemic countries.


Rajak, SN; Collin, JR; Burton, MJ; (2012) Trachomatous trichiasis and its management in endemic countries. Survey of ophthalmology, 57 (2). pp. 105-35. ISSN 0039-6257 DOI: https://doi.org/10.1016/j.survophthal.2011.08.002

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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.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: The International Centre for Evidence in Disability
International Centre for Eye Health
Neglected Tropical Diseases Network
PubMed ID: 22285842
Web of Science ID: 301034500002
URI: http://researchonline.lshtm.ac.uk/id/eprint/54251

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