Subject suffering from
trichiasis were referred to a tertiary care hospital for further investigation and treatment.
Jallow's case of
trichiasis was the result of something that happened decades before--when she was a child living in a rural village, Jallow was infected with the bacterium Chlamydia trachomatis and developed trachoma.
The astigmatism found in leprosy could be due to corneal opacity, keratitis,
trichiasis, entropion, ectropion and others as seen in Figure 2.
Slit lamp examination was conducted to rule out dry eyes, corneal opacities, uveitis, entropion and
trichiasis. Goldmann applanation tonometry was carried to rule out any rise in intra ocular pressure.
Etiologies may be congenital, or result from infection, allergy,
trichiasis, distichiasis, ectopic cilia, entropion, trauma, a foreign body or lack of tears.
Wake Forest University Health Sciences: training surgeons across Tanzania and Ethiopia to perform complicated
trichiasis surgery on trachoma patients by developing a realistic eye model.
In the present series ulcer/opacity was found in 41.2%, superficial vascularization in 29.8%, circumciliary congestion in 22.8%, loss of luster of cornea and conjunctiva in 16.6%,
trichiasis and entropion in 9.6%, epithelial and mucous filaments in 7.8%, crusting and waxy scales over lid margin in 8.7%, and ectropion in 1.7% eyes.
Diseases such as exophthalmos, lagophthalmos, medial corner entropion, nasal
trichiasis, distichiasis, changes in tear production and keratopathy by exposure are cited.
Those with advanced trachomatous complications like
trichiasis and corneal opacity were excluded.
SAFE is an acronym for Surgery for
trichiasis (inverted eyelashes), Antibiotics, Facial cleanliness and Environmental improvement.
Number of % patients Age (years) <20 3 6 21-39 25 49 40-64 14 27 >65 9 18 Sex Male 29 57 Female 22 43 Risk factors Contact lens wear 23 45 Foreign body 6 12 Recurrent corneal erosion 5 10 Corneal graft 4 8 Skin condition 2 4 Exposure keratopathy 2 4 Bullous keratopathy 1 2 Herpetic keratitis 1 2 Neurotrophic ulcer 1 2 Ocular trauma 1 2
Trichiasis 1 2 No risk factor 4 8 Table 2: Organisms isolated and predisposing factors in patients with microbial keratitis cases treated at a university hospital in Hong Kong between 2012 and 2014.