Trachoma in Kaduna, northern Nigeria. Recent observations on pattern of clinical presentation

At the Guinness eye hospital, Kaduna, Northern Nigeria, where 40-60,000 new cases are yearly seen, trachoma is now responsible for less than 0.5% of blindness and less than 0.5% ocular morbidity. This contrasts with the situation about 30 years ago when it was a major problem. Most of our trachoma patients now have trivial intensity of disease and cicatrising/healed lesions. This rate and pattern of presentation suggests a decline in the importance of trachoma, although confirmation depends on actual community assessment.