Ocular Trachoma

Question 1

Ocular Trachoma

Answer 1

Clinical Diagnosis of chlamydial conjunctivitis from Chlamydia Trachomatis serotypes A-K

Repeat scarring and contraction of eyelids from recurrent infections results in inturned eyelashes which cause trichiasis (pain on rubbing of eyelashes on sclera_ which can lead to blindness (3.6% of blindness in world is due to trachoma).

Australia is the only developed country in the world where Trachoma is still endemic.

Differential
- Viral conjunctivitis
- Bacterial conjunctivitis
- Allergic conjunctivitis
- Hypersensitivity conjunctivitis (cosmetics, soaps, chemicals)

Can be spread through household contacts
- infected secretions, towels, washers, fly as a vector

Question 2

SAFE Acronym

Answer 2

Management factors to remember for Trachoma

Surgery for Trichiasis
Antibiotics
Face Washing
Environmental Improvements

Question 3

Management

Answer 3

• Oral Azithromycin stat (20mg/kg max 1g)
• Treat whole household if symptomatic.
• Encourage daily hand and face washing