Trachoma Flashcards
Libyan name
رمد
Pathognomonic of trachoma
Herbert’s pits
Small white depressions in at the limbocorneal junction
What is the trachoma 🙄
Chronic infective bacterial conjunctivitis, caused by chlamydia trachomatis, usually bilateral
Cause of blindness in trachoma
Corneal opacity
Symptoms
Foreign body sensation, pain, dryness
Signs:
Conjunctival hyperemia
Conjunctival follicles & papillary hypertrophy
Pannus
Tender preauricular node
Herbert’s pits
Arlt’s lines
What is pannus
Fibrovascular membrane arising from the limbus
And what is Arlt’s lines
Linear or stellate conjunctival scars palpepral part
Eye lid complications of trachoma
Trichiasis (Pure)
Ptosis
Cicatricial entropion
Blepharitis or meibomianitis
Conjunctival complications in trachoma
Dry eye: Some patients come with
Symblepharon: adhesion of conjunctiva to cornea
Corneal complications
Corneal ulceration
corneal opacity
Corneal vascularization
Lacrimal system complications of trachoma
Inflammation: canaliculitis, dacryoadenitis, and dacryocystitis.
Obstruction: Nasolacrimal duct or punctum obstruction.
The most preventive measure is
Strict personal hygiene
How to treat
Sulfacetamide(common and cheap)
Azithromycin
Topical or systemic erythromycin
Topical tetracycline: systemic not for pregnant or 7y child
WHO classification of trachoma
TF: trachoma follicles
TI: trachoma infiltration
TS: Trachoma scaring
TT: Trachoma trichiasis
CO: Corneal opacity
