Definatoin ,complications and treatment of trachoma

What’s your diagnosis and what’s your treatment of such a case?
This patient suffer from trachoma and treatment will be discuss in this post..
*Firstly, what’s The trachoma?
It is a chronic contagious inflammmatoin of counjuctiva which caused by chlamydia trachomatous.
**trachoma, it’s one of the endemic disease world wide.

*clinical picture and diagnosis :
√ symptoms
Red eye
Discharge which may be mucoid or mucopurulent.
Irritation which causes discomfort, foreign body sensation.
√signs
√ Counjunctival Signs ,this will differ according to MC callens classification:
*T1 stage which characterizes by minute follicles, 1mm in diameter and not expressible.
*T2a stage which characterizes by formation of large follicles, 1-3mm in diameter and expressible.
*t2b stage which characterizes by formation of papillae which characterizes by finger like projections , fine, many, may lead to ptosis and also give you velvet appearance.
*T3 stage which characterizes by fibrosis and formation of ARLET’s line (white fibrous line present in sulcus sub tarsalis), post trachomatous degeneration and post trachomatous classification.
*T4 stage as the previous stage, but with complete recovery.
√ corneal signs:
*superficial keratitis.
*corneal follicles which are greyish follicles appear at upper border of cornea (also called Herbert’s rosette) when this follicles fibrosed it leaves depressed centre called herbet’s pits.
*pannus formation
*trachomatous ulcer
*xerosis of cornea
*Kerato ectasia

*Complications :
√ eye lid. it causes Cicatricial entropion, ptosis, and symblepharon.
√counjuctiva . It causes xerosis and symblepharon.
√lacrimal gland. It causes dacryo-adenitis, dacryo-cystitis and punctal occlusion.
√corneal. It causes all above signs of cornea.

*treatment
√ prophylaxis
Combat flies
Medication for both eyes
√actual treatment
Systemic antibiotic as azithromycin
Local antibiotics eye drops of sulfacetamide. And terramycin eye ointment.
Atropine eye drops
√surgical
Follicles treated by expression
Papillae treated by scraping
PTDS and PTCS treated by picking.


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Category | Ophthalmology
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