Clinically assessing trichiasis patients

Trichiasis surgery aims to prevent vision loss by turning the eyelid margin outwards. This prevents any in-turned eyelashes from rubbing against the eye. The techniques and approaches used have evolved over the years. The ancient Greek physician Hippocrates (460-380 BC) described only four eye operations, three of which were for trachoma!

Approaches to trichiasis surgery have evolved considerably in recent years. Obtaining a good surgical outcome is central to the service we provide to patients, and recent work makes good outcomes more and more likely for each patient.

An effective trichiasis surgery service aims to:

• Provide high quality surgical outcomes for all patients
• Detect and manage any complications of trichiasis surgery, and any post-surgical recurrence of trichiasis
• Achieve high surgical coverage of individuals with trichiasis

Any surgical intervention is a major consideration for both patient and surgeon. The first step is to correctly assess and prepare the patient for surgery.

As you watch this video reflect on the effect of the statement “you will need eye surgery” on an individual with trichiasis. Who is best placed to inform and counsel the patient?