The difference between trachoma and conjunctival concretions.

Written by Li Zhen Dong
Ophthalmology
Updated on September 01, 2024
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Trachoma is caused by Chlamydia infection, while eye concretions are generally caused by chronic inflammation leading to lipid accumulation. When the eyelids show symptoms of trachoma, proliferative follicles and proliferative tissues in the eyelids form cobblestone changes. The concretions are white and located subconjunctivally, generally deep enough not to affect the eyes, but if superficial, they protrude into the palpebral conjunctiva and can cause certain wear to the eyes. Symptoms such as a foreign body sensation, burning sensation, and increased secretions can result from both trachoma and eye concretions. For treatment, eye drops are used for trachoma, and the eye concretions are removed under topical anesthesia, which alleviates the symptoms.

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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 Li Zhen Dong
Ophthalmology
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The difference between trachoma and stye

Trachoma is a chlamydial infection, while a stye is an infection caused by Staphylococcus aureus. Trachoma manifests as the formation of trachoma follicles, hyperplasia, and inflammation on the inner surfaces of the eyelid and conjunctiva, with symptoms including redness, swelling, pain in the eyes, neovascularization of the cornea, and vascular pannus. A stye presents with redness, swelling, heat, and pain in the eyelid, mainly caused by inflammation. In terms of treatment, trachoma mainly uses rifampin eye drops; styes are treated with levofloxacin eye drops, and erythromycin or tobramycin ointment at night, with no hot compresses applied. Typically, a stye can heal within about a week, whereas trachoma requires a longer treatment period, and it is important to rest and undergo regular check-ups. (The use of medications should be carried out under the guidance of a physician)

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Ophthalmology
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How to treat trachoma stage 2?

Trachoma stage two requires treatment with antibiotic eye drops to kill the Chlamydia infecting the conjunctival tissue, thus alleviating symptoms. Commonly used eye drops include rifampicin, sodium sulfacetamide, and levofloxacin hydrochloride. Trachoma is a common eye disease caused by poor eye hygiene, such as rubbing the eyes with dirty hands, sharing personal hygiene items like basins and towels with others, or using unclean water to wash the face. It is imperative to treat the infection with medication as quickly as possible and to develop good eye hygiene habits to prevent the condition from worsening or spreading to family and friends. If trachoma is not treated promptly, it could lead to complications such as entropion, dry eye syndrome, and corneal vascularization. (Please follow medical advice regarding medication.)

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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 Li Zhen Dong
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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.