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Trachoma

Medical Questions » Trachoma
Name: Trachoma
Also known as:
A type of conjunctivitis (superficial eye infection).
Causes of Trachoma
The bacteria-like Chlamydia organism, which is very common in areas of low hygiene where flies can transmit the infection from one person to another. It is particularly common among Australian Aborigines.
Symptoms of Trachoma
Mild infections may not be very noticeable, and in children may cause no symptoms. In more severe cases, eye pain, intolerance to bright lights, and a weeping swollen eye develop. Small bubbles on the underside of the eyelids are the earliest sign of the disease.
Tests for Trachoma
Diagnosed by culture and examination of swabs from the eye.
Treatment for Trachoma
A one to three month course of antibiotics and antibiotic eye ointment. Once blindness has occurred from corneal scarring, the only treatment is surgical replacement of the damaged cornea by one donated by a deceased person.
Complications of Trachoma of its treatment
Chronic trachoma causes scarring of the cornea (the outer surface of the eye) and subsequent blindness. Blood vessels grow into the scar tissue, and the colored part of the eye and the pupil may be covered with a thick scar and obvious small arteries and veins. The gland that produces tears (the lacrimal gland) can also be damaged so that tears no longer form, the eye dries out, and is further damaged and scarred.
Likely Outcome of Trachoma
Usually cured if treated within the first year, and the outcome is excellent, but if left longer some scarring of the eye surface may occur.
       
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