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Topic: Trichiasis


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In the News (Wed 9 Dec 09)

  
  eMedicine - Trichiasis : Article by Robert H Graham, MD   (Site not responding. Last check: 2007-10-26)
Trichiasis has numerous causes, and the strategies to correct this problem are dictated by the anatomic abnormality causing the lash misdirection.
Mortality/Morbidity: The primary morbidity associated with trichiasis is corneal abrasion, corneal scarring, and microbial keratitis.
Trichiasis is a leading cause of decreased vision with this trachoma and is associated with upper lid entropion (see Image 1, Image 4).
www.emedicine.com /oph/topic609.htm   (2164 words)

  
 Single dose of oral antibiotic azithromycin taken after trichiasis eye surgery prevents recurrence of inturned eyelashes   (Site not responding. Last check: 2007-10-26)
Trichiasis can be corrected by appropriate lid surgery, which returns the inturned eyelashes to their normal position.
In the study, published in the March 2006 issue of the Archives of Ophthalmology, the research team found that a single dose of the antibiotic azithromycin reduces the risk of trichiasis recurring for up to one year after surgery.
Trichiasis plagues the poorest of the poor, and primarily affects the most underprivileged members of the community, the women.
www.news-medical.net /?id=16610   (634 words)

  
 The Unwanted Eyelash   (Site not responding. Last check: 2007-10-26)
Trichiasis is a general term used to describe a number of eyelash abnormalities which result in intermittent or constant contact between lashes and the ocular surface.
It is important to distinguish between the types of eyelash disorder causing trichiasis, as the treatment of choice depends on the pathological process underlying the disorder.
When larger areas of the eyelid are involved in trichiasis, the treatment of choice depends on whether the abnormal lashes arise anterior or posterior to the grey line, and whether marginal entropion is present.
www.site4sight.org.uk /Quality/RGov/Guidelines/Eyelash.htm   (1478 words)

  
 Collaboration with African Traditional Healers for the Prevention of Blindness   (Site not responding. Last check: 2007-10-26)
Trichiasis, like cataract, is also a disease of the elderly and involves a surgical intervention; many of the same educational approaches are involved.
Trichiasis surgery may also be appropriate for demonstration, although it is more bloody than cataract surgery and the immediate postoperative cosmetic view is not particularly appealing.
Referral of patients (particularly cataract and trichiasis) to the hospital should be presented as a collaborative activity with the healer as a vital link in the process whereby sight is restored.
www.iceh.org.uk /files/cath/02b.html   (3961 words)

  
 Trachoma Control and Prevention - Carter Center Trachoma Control Program
Women who develop trichiasis are considered economic burdens, are often divorced from their husbands and children, and are sent back to their parents' homes.
Because active trachoma becomes trichiasis later in life, usually around age 35 although sometimes earlier, the condition makes it extremely uncomfortable for women to cook over smoky fires, collect water in bright sun, or farm in dusty fields.
While older women with trichiasis may be looked after by their children, younger ones are frequently divorced by their husbands and sent back to their parents.
www.cartercenter.org /health/trachoma/index.html   (770 words)

  
 View Study [NEI Clinical Studies]
Trichiasis is the end result of repeated infection with chlamyida trachomatis and is characterized by inturned eyelashes which abrade the cornea.
Household members of trichiasis patients in the household treatment arm were treated within one week of the participant's surgery.
Individuals with trichiasis were told about the surgical services being provided in the area and were briefly told about the clinical trial.
www.nei.nih.gov /neitrials/viewStudyWeb.aspx?id=124   (625 words)

  
 SURGICAL MANAGEMENT IN CASE OF TRICHIASIS   (Site not responding. Last check: 2007-10-26)
The trichiasis was surgically managed by anterior lamellar repositioning with lid everting sutures with lid split to achieve eversion of the misdirected eyelashes and thus prevent corneal complications.
Trichiasis is an acquired aberrant growth of the cilia that arise from the anterior lamella and are misdirected towards the ocular surface.
Trichiasis causes chronic irritation of cornea and conjunctiva leading to complications like conjunctivitis, keratitis, recurrent erosions, secondary vascularization, scarring and corneal opacity.
www.bhj.org /journal/2002_4404_oct/case_708.htm   (862 words)

  
 Trachoma and Gender | CDC EID
Survey data also show that women have an excess risk for corneal opacity, trichiasis, and scarring; women account for 60% to 85% of all cases of trichiasis in the community (11–14).
In some surveys, such as recently in Dalocha District in Ethiopia, while 11 of 18 trichiasis cases were in women, in children <10 years of age, 21.1% of boys and 13.5% of girls had active trachoma (13).
However, a case-control study of trichiasis in women did not find a significant difference between childcare activities in those with trichiasis compared to those without trichiasis; the study design did not permit an evaluation of infection in the children themselves, which is the key factor (23).
www.cdc.gov /Ncidod/eid/vol10no11/04-0353.htm   (3687 words)

  
 Eastern Mediterranean Health Journal
In a long-term follow-up study of trachomatous trichiasis cases managed by the bilateral tarsal rotation procedure in Oman, the prevalence of distichiasis and dysplastic eyelashes were not noted [1].
The 61.8% recurrence rate of trichiasis observed in that study is very high and clinicians have proposed that this is due to dysplastic and distichiasis eyelashes which were not managed separately in addition to the bilateral tarsal rotation procedure.
The trachomatous trichiasis cases seen at the tertiary ophthalmic centre of Oman are likely to be cases in the advanced stages and thus they are not representative of all the trachomatous trichiasis cases of Oman.
www.emro.who.int /Publications/EMHJ/1001_2/Distichiasis.htm   (1843 words)

  
 Kevin D. Frick
Trichiasis is a long-term sequela that results from repeated episodes of active trachomatous infection.
Trichiasis can be treated with a simple surgical procedure that can be performed by trained ophthalmic nurses.
Prior research has established the existence of a significant difference between the utilization of surgery in the villages in which surgery was available locally and the villages in which individuals had to travel to a regional health center for surgery.
iaes.org /conferences/past/charleston_50/prelim_program/i00-1/frick.htm   (740 words)

  
 Optometric Physician
Trichiasis surgery is believed to reduce the risk of losing vision from trachoma.
Recurrent trichiasis was found in 89 of 214 operated eyes (41.6 percent), and 52 eyes (24.3 percent) had five or more lashes touching the globe.
Recurrent trichiasis was associated with severe conjunctival inflammation and bacterial infection.
www.revoptom.com /archive/OP/op_061305.htm   (2012 words)

  
 Ezz al Arab - 2001
Adults were interviewed regarding past trichiasis surgery; those currently with trichiasis or a history of trichiasis surgery were also interviewed regarding outcome of surgery.
The prevalence of trichiasis (TT) in adults was 6.5%; women had an age adjusted odds of trichiasis of 1.68 (95% CI 1.18-2.39) compared to men.
The outcome of trichiasis surgery was poor in 44.4% of cases.
www.ph.ucla.edu /epi/rapidsurveys/ezzalarab_2001rs.html   (464 words)

  
 Trichiasis - Wikipedia, the free encyclopedia
Trichiasis is a medical term for ingrown eyelashes.
Trichiasis in dogs is hair from the eyelid growing in the wrong direction and rubbing on the eye, causing irritation.
This type of trichiasis can be flattened by rubbing petroleum jelly onto it, but surgery is sometimes necessary for permanent correction.
en.wikipedia.org /wiki/Trichiasis   (160 words)

  
 Trachoma
After years of repeated infection and rubbing, the result is trichiasis, where the eyelid becomes so scarred that it turns inward eyelashes begin to scrape the eyeball and cornea (the front of the eye) and which is left untreated can lead to avoidable blindness.
Adult women are likely to risk developing trichiasis due to repeated re-infection from the close contact they have with the small children of their village.
Environmental improvements are the best prevention in counteracting trachoma: reducing the risk of water shortages, improving hygiene conditions for example with the introduction of latrines that reduces the number of flies and lastly working to improve conditions within overcrowded households.
www.orbis.org /bins/content_page.asp?cid=111-114   (521 words)

  
 Teaching Brief® - MedPage Today
BALTIMORE, March 14 - A single dose of oral Zithromax (azithromycin) after trichiasis surgery reduced recurrence of the eyelid disorder by 33%, according to a Johns Hopkins trial in Ethiopia, where the disease is endemic.
Trichiasis was severe in these patients with over half the group having five lashes touching the cornea.
The results of this clinical trial, she said, set a new standard for trichiasis surgery and can be transferred to other settings because most countries with widespread trichiasis now have a free Zithromax distribution program.
www.medpagetoday.com /tbprint.cfm?tbid=2854   (648 words)

  
 Entropion in Bullmastiffs   (Site not responding. Last check: 2007-10-26)
Trichiasis occurs when normal hairs turn inward, when an eyelid margin is turned inward(e.g., lower medial entropion), or when hairs on a facial fold touch the eye.
Lower medial entropion with secondary trichiasis is treated with surgical eversion (rolling outward) of the inner lower eyelid or by cryosurgery.
In dogs with abnormally large eyelid openings, medial entropion with trichiasis may be corrected by surgical excision of the hairs with permanent partial inner eyelid closure.
www.bullmastiffsonline.com /eyeprobs.html   (448 words)

  
 HON - News : One-Time Antibiotic Prevents Infection-Linked Blindness   (Site not responding. Last check: 2007-10-26)
The condition, called trichiasis, is the leading cause of infection-linked vision loss in the developing world.
In trichiasis, in-turned eyelashes scrape against the eye, causing a scarring of the cornea.
The disease is caused by repeated episodes of a bacterial infection in the eye called trachoma, which is common in rural areas of developing nations.
www.hon.ch /News/HSN/531528.html   (477 words)

  
 Antibiotic Effective Against Leading Cause of Blindness Throughout the World
Trichiasis is a condition in which the eyelid turns inward and eyelashes rub against the eye, resulting in corneal scarring and loss of vision.
In this study, called Surgery for Trichiasis, Antibiotics to Prevent Recurrence (STAR), eye infection with the bacterium that causes trachoma was present in 19 percent of the adults with trichiasis in Wolayta Zone, Ethiopia, the location of the clinical trial.
More than 77 percent of the patients were women, who have four times the rate of trichiasis than men.
www.docguide.com /dg.nsf/PrintPrint/1B46A85B6F6AEC668525713100539D62   (787 words)

  
 HerbChina2000.com - Herbal Remedies - Trichiasis
Trichiasis can occur in all ages; however, this condition most commonly is seen in the adult years.
Trichiasis refers to misdirected eyelashes, where they point backwards and irritate the eye surface.
Symptoms are usually of a foreign body sensation, but more severe symptoms of redness, pain, tearing, and light sensitivity are not uncommon.
www.herbchina2000.com /therapies/XDE.shtml   (695 words)

  
 BLINDING TRACHOMA: PREVENTION WITH THE SAFE STRATEGY -- WEST 69 (5 Supplement 1): 18 -- American Journal of Tropical ...
Incidence of trichiasis in a cohort of women with and without scarring.
Longitudinal study of trachomatous trichiasis in The Gambia: barriers to acceptance of surgery.
Recurrence of trichiasis: a long-term follow-up study in the Sultanate of Oman.
www.ajtmh.org /cgi/content/full/69/5_suppl_1/18   (4656 words)

  
 eMedicine - Trachoma : Article by Anthony Solomon, MBBS, PhD, DTMandH   (Site not responding. Last check: 2007-10-26)
Conjunctival scarring alone tends to be asymptomatic, though the associated disturbance of the architecture of the tear film (due to scarring and destruction of mucous and serous glands) often leads to dry eye.
Trichiasis is defined as at least 1 eyelash rubs on the eyeball or evidence of recent removal of in-turned eyelashes.
Trachomatous trichiasis (TT) is defined as the presence of at least 1 eyelash rubbing on the eyeball or evidence of recent removal of in-turned lashes.
www.emedicine.com /oph/topic118.htm   (3377 words)

  
 Ocular leishmaniasis: A case report
We report a case of ocular leishmaniasis with eyelid and conjunctival involvement that had simulated chalazion and was complicated with trichiasis.
We report a case of ocular leishmaniasis with eyelid and conjunctival involvement, associated with trichiasis, and which responded well to treatment with intramuscular sodium stibocoluconate preventing from further complications.
Subsequent surgery for trichiasis was done by the ophtalmologist.
dermatology.cdlib.org /112/case_reports/leishmaniasis-ocular/sadeghian.html   (1376 words)

  
 Burden Among Male and Female Unoperated Trichiasis Patients in Two Trachoma Endemic Districts in Tanzania
To determine whether men’s and women’s functional limitations are differentially affected by the number of eyes with trichiasis and the combination of trichiasis and visual impairment.
Methods: 164 unoperated trichiasis patients were interviewed in the Dodoma Rural and Mpwapwa districts of the Dodoma region of Tanzania.
Both men and women with trichiasis in two eyes were more likely to have functional impairments than those with trichiasis in one eye, with a larger difference among men.
apha.confex.com /apha/132am/techprogram/paper_84251.htm   (440 words)

  
 Eye Conditions > Trichiasis -- EyeMDLink.com
Trichiasis refers to the acquired development of eyelashes that are misdirected toward the ocular surface.
As such, the eyelashes frequently rub the eye, producing irritation, tearing, and occasionally, corneal ulceration (infection).
Unless another underlying disorder is present, the treatment for trichiasis is epilation (lash removal).
www.eyemdlink.com /Condition.asp?ConditionID=449   (118 words)

  
 Effective surgery fails to attract patients unless costs are low
The study first identified 158 persons in The Gambia with trichiasis and then offered half the patients surgery in local health centers and the other half surgery at more distant regional clinics.
The researchers determined that, if left untreated, trichiasis will cost a patient and society an average of $89 in lost production over a lifetime (all monetary figures are reported in 1998 U.S. dollars).
The researchers conclude that planners in regions of the world where trichiasis is a problem need to consider the tradeoffs between immediate cost recovery and long-term gains in economic productivity that require additional expenditures up front.
www.eurekalert.org /pub_releases/2001-07/jhub-esf071801.php   (521 words)

  
 Barriers to Trichiasis Surgery in Two Trachoma Endemic Districts in Tanzania
As part of an evaluation of trichiasis surgery programs, we assessed patient perceived barriers to trichiasis surgery in two trachoma-endemic districts in Tanzania in light of the national SAFE strategy being implemented for three years.
Unoperated trichiasis patients from Mpwapwa were significantly more likely to have heard of surgery and less likely to have listed two of the other three most common barriers.
Unoperated trichiasis patients from Mpwapwa listed significantly fewer total barriers; unoperated female trichiasis patients listed significantly more total barriers; and listing a greater number of food crops was associated with listing fewer barriers.
apha.confex.com /apha/132am/techprogram/paper_87261.htm   (375 words)

  
 Arch Ophthalmol -- Abstract: Trichiasis and Disability in a Trachoma-Endemic Area of Tanzania, December 2001, Frick et ...   (Site not responding. Last check: 2007-10-26)
Arch Ophthalmol -- Abstract: Trichiasis and Disability in a Trachoma-Endemic Area of Tanzania, December 2001, Frick et al.
without trichiasis were compared separately for men and women.
From The Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, Health Services Research and Development Center, Baltimore, Md (Dr Frick); School of Medicine, Dana Center for Preventive Ophthalmology, Baltimore (Dr West and Ms Melia); and the University of Ottawa Eye Institute, Ontario (Dr Buhrmann).
archopht.ama-assn.org /cgi/content/abstract/119/12/1839   (327 words)

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