Trachoma is caused by what?

Written by Peng Xi Feng
Ophthalmology
Updated on September 24, 2024
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Trachoma is a type of conjunctival keratitis caused by the Chlamydia trachomatis bacterium. It is a chronic infectious disease characterized by a rough and uneven appearance on the surface of the conjunctiva, resembling sand grains, hence its name. In the early stages, the conjunctiva shows infiltration, such as growths of papillae and follicles, along with corneal vascular pannus. In late stages, due to scarring of the affected conjunctiva, entropion and trichiasis can occur, aggravating the damage to the cornea and severely impacting vision or even causing blindness in the patient.

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Written by Peng Xi Feng
Ophthalmology
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Trachoma has several treatment methods.

Trachoma is a chronic infectious conjunctival and corneal inflammation caused by Chlamydia trachomatis infection and is one of the leading causes of blindness. Around three hundred to six hundred million people worldwide are infected with trachoma. Treatment includes systemic and local ocular medication, as well as treatment for complications. Local treatments include 0.1% rifampicin eye drops, 0.1% tetrahydropalmatine eye drops, or 0.5% neomycin eye drops. Erythromycin or tetracycline eye ointments are used at night, with a treatment duration of at least ten to twelve weeks. Acute or severe cases of trachoma should be treated with systemic antibiotics. Surgical correction of trichiasis and entropion is crucial to prevent late-stage trachoma scarring that leads to blindness.

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Written by Peng Xi Feng
Ophthalmology
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What eye drops are used for trachoma?

Once diagnosed with trachoma, not only is it necessary to use local eye drops, but also systemic treatment is required. Commonly used local eye drops for trachoma include 0.1% rifampin eye drops, 0.5% penicillin eye drops, yellow safety eye drops, tetracycline eye ointment, erythromycin eye ointment, sulfa eye ointment, and the treatment course needs at least ten to twelve weeks. In the acute phase or severe cases of trachoma, systemic antibiotic treatment is also needed, generally for three to four weeks. Adults take oral tetracycline, while it is contraindicated for pregnant women, nursing women, and children under seven years old, who may alternatively use erythromycin. Note: Medication should be used under the guidance of a doctor.

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Written by Zheng Xin
Ophthalmology
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Trachoma stones are formed how?

Trachoma calculus is mainly caused by infection with Chlamydia trachomatis resulting in calculus formation. It is not actually a stone or calculus in the true sense, but rather a coagulum accumulated in the depressions or crypts of the conjunctival epithelium, consisting of desquamated epithelial cells and degenerative cells. Thus, it's not a real calculus, and is commonly seen in adults, primarily occurring in patients with chronic eye diseases such as trachoma and chronic conjunctivitis.

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Written by Peng Xi Feng
Ophthalmology
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Common complications of trachoma

Trachoma is a chronic infectious conjunctival keratitis caused by Chlamydia trachomatis. It is named trachoma because it forms a rough, uneven appearance on the surface of the conjunctiva, resembling sand grains. The complications of trachoma mainly include common conditions such as entropion, trichiasis, trachomatous corneal ulcers, ptosis, trachomatous dry eye, tear duct obstruction, chronic dacryocystitis, symblepharon, and corneal opacity, among others.

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Written by Li Zhen Dong
Ophthalmology
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Trachoma is what type of infectious disease

Trachoma is classified as a Class C infectious disease by national regulations. Trachoma generally manifests as red eyes, swollen eyes, eye pain, increased secretions, and a foreign body sensation, sometimes affecting vision. The conjunctiva in trachoma shows significant proliferative follicles, or pavement stone-like changes. The transmission of trachoma is mainly through contact. Additionally, it is categorized as a Type C infectious disease, with infectious diseases classified into three major categories: Type A, Type B, and Type C. After contracting trachoma, it is crucial to actively treat it with eye drops and to pay attention to eye hygiene.