Post-operative trichiasis
Post-operative trichiasis is when trichiasis is found again in an operated eye of a patient after surgery. It can develop at any time after surgery. Early post-operative trichiasis is probably …
Course: Eliminating Trachoma
Selecting appropriate treatment: What’s the evidence
In this video Dr Matthew Burton talks with Dr Esmael Ali about his experiences of trichiasis management in Ethiopia and about some interesting findings from a recent study he carried …
Providing good quality trichiasis surgery at high volume
Around 2.5 million people worldwide have trachomatous trichiasis (TT) and need trichiasis surgery to prevent further visual impairment and blindness. To eliminate trachoma we need to address this backlog of …
Planning and organising trichiasis surgery in the community
In trachoma endemic areas, trichiasis surgery can be provided at static units, through outreach campaigns, and by individual surgeons on motorbikes travelling to the most hard-to-reach communities. The first step …
How to counsel trichiasis patients
Surgery is an invasive treatment and is often viewed with fear and anxiety. Uptake for trichiasis surgery Acceptance and wider uptake of trichiasis surgery is facilitated in two ways. Firstly, …
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 …
Anatomy of the eyelid
The eyelids are very important for the protection and healthy function of the eye. Before a clinical assessment is explained we briefly look at the normal anatomy of a lid. …
Reaching trichiasis patients
Yuol is a 40-year-old subsistence farmer in a small remote village in South Sudan. He has been suffering from trichiasis for the past 5 years. He has pain in his …
An introduction to trichiasis
What is trichiasis? Trachomatous trichiasis (TT) is an advanced stage of trachoma. It is defined as having one or more eyelashes from the upper eyelid touching the surface of the …
Trachoma in Malawi: from mapping to action plan
Dr Khumbo Kalua, Trachoma Technical Advisor for the Malawi Ministry of Health, reports on progress towards elimination of trachoma in Malawi, a densely populated country in southern Africa with 16 …
Trachoma Action Plans
Mapping provides authorities with the evidence of where public health-level interventions are needed to eliminate trachoma. It also triggers the recognition that effective and efficient planning must be initiated at …
Trachoma mapping at district level
Generally speaking, trachoma mapping is carried out when it is reasonable to think that trachoma is a public health problem in a district. Trachoma mapping measures the prevalence of trachomatous …
The international commitment to eliminate trachoma
Global debates about public health interventions to deal with infectious diseases use several key terms: control, elimination and eradication. The agreed definitions are: Control is the reduction in disease incidence, …
Global mapping of trachoma
In July 2012, Sightsavers, the International Trachoma Initiative (ITI) and the London School of Hygiene & Tropical Medicine, acting on behalf of the International Coalition for Trachoma Control, secured the …
Diagnosing trachoma
In public health, there are three essential questions: What is the condition? Who in the population has it? What effective intervention do we have? Using this information, a health programme …
