Trachoma papillary hyperplasia refers to the growth of papillary formations on the conjunctiva due to trachoma.

Written by Tao Yuan
Ophthalmology
Updated on September 02, 2024
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Trachoma papillary hyperplasia refers to the appearance of a large number of conjunctival papillae on the inner surface of the eyelid in patients with trachoma, which is one of the typical manifestations of inflammation. Trachoma is a common eye disease, caused by Chlamydia infection of the conjunctival tissue, and is greatly related to the patient's lack of eye hygiene and rubbing the eyes with dirty hands. Patients with trachoma may experience eye congestion, redness, the presence of follicles and papillary hyperplasia, as well as the formation of scar tissue on the inner surface of the eyelid. Timely treatment is necessary, otherwise the condition may gradually worsen, potentially leading to complications such as upper eyelid ptosis, entropion, and tear duct obstruction. For treatment, eye drops such as Rifampicin, Sodium Sulfacetamide, and Levofloxacin can be used to eliminate the infection.

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Written by Peng Xi Feng
Ophthalmology
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Trachoma is caused by what?

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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Can trachoma cause blindness?

Trachoma is a chronic infectious conjunctivitis and keratitis caused by Chlamydia trachomatis, which can lead to blindness if left untreated. After the acute phase of trachoma is cured, it may leave no scars and not affect vision. However, repeated infections can lead to scarring, and in severe cases, complications may endanger vision. Entropion and trichiasis, where eyelashes constantly rub against the cornea, can cause the cornea to become opaque and form ulcers, leading to blindness. Chlamydia trachomatis can cause epithelial keratitis, and at the ends of corneal vascular pannus, corneal infiltration can occur along with entropion and trichiasis, which in turn exacerbates the damage to the cornea, causing opacification and leading to blindness.

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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.