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Trachoma elimination, approaching 2020.
Mostafa M Diab1, Richard C Allen2, Tamer I Gawdat3
1Department of Ophthalmology, Faculty of Medicine, Fayoum University, Al Fayoum, Egypt.
Current Opinion in Ophthalmology
|July 3, 2018
Summary
This review highlights effective trachoma treatment strategies, including azithromycin for active infections and surgical techniques like posterior lamellar tarsal rotation for trichiasis. Understanding disease progression is key to reducing recurrence.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Global Health
Background:
- Trachoma remains a leading cause of preventable blindness globally.
- Trichiasis, a complication of trachoma, causes eyelid deformity and corneal scarring.
Purpose of the Study:
- To review current practices for trachoma treatment.
- To focus on recent studies, particularly those discussing trachoma trichiasis surgery.
Main Methods:
- Literature review of recent studies on trachoma treatment.
- Analysis of surgical techniques for trachoma trichiasis.
Main Results:
- Azithromycin eye drops may be as effective as oral azithromycin for active trachoma.
- Posterior lamellar tarsal rotation is effective for severe trichiasis with lower recurrence risk.
- Tarsus-sparing procedures show good success rates.
- Addressing concurrent lid abnormalities improves surgical outcomes.
Conclusions:
- Understanding trachoma pathophysiology and recurrence is crucial for control.
- Procedures sparing tarsus/conjunctiva are important due to progressive scarring and high recurrence rates.
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