How to eliminate trachoma follicles

Written by Tao Yuan

Ophthalmology

Updated on September 01, 2024

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Trachoma follicles need to be treated regularly with antibiotic eye drops to kill the Chlamydia trachomatis and eliminate inflammation before they can be resolved.

Trachoma is a common ophthalmic disease caused by neglect of eye hygiene, such as rubbing the eyes with dirty hands, leading to the infection of the conjunctival tissues by Chlamydia trachomatis. The typical symptoms include eye congestion, redness, increased discharge, and a foreign body sensation. By using a slit lamp microscope for magnified observation, the doctor can see numerous follicles and scar formation on the inner surface of the patient's eyelid, as well as vascular pannus formation at the corneal limbus. Treatment involves using eye drops such as levofloxacin hydrochloride, rifampicin, and sulfacetamide sodium to kill the pathogen and thereby alleviate the symptoms.

(Please follow medical advice regarding medication.)

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Written by Li Zhen Dong

Ophthalmology

1min 1sec

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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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Written by Peng Xi Feng

Ophthalmology

39sec

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Can trachoma wear colored contact lenses?

The eyes themselves already have trachoma, which is one of the contraindications for wearing contact lenses. Therefore, based on the current health condition of the eyes, it is not suitable to fit contact lenses. Since the eyes already have an infectious disease, wearing cosmetic contacts, which contact the cornea, can easily lead to the occurrence of keratitis and worsen the inflammation. It is necessary to visit a professional ophthalmologist for examination and treatment of the trachoma. After the treatment is completed, then consider the issue of fitting contact lenses.

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Written by Peng Xi Feng

Ophthalmology

1min 1sec

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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 Tao Yuan

Ophthalmology

1min 1sec

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

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 Wang Fang

Ophthalmology

1min 8sec

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What does "syphilis negative" mean?

A negative test for trachoma means that the individual does not have the disease. Trachoma is a chronic infectious disease of the conjunctiva of the eye surface, caused by Chlamydia trachomatis infection. The acute phase of trachoma can manifest as redness, swelling, tearing, increased discharge, and a foreign body sensation in the eyes. If not well-controlled, trachoma can become chronic over time. Due to damage to the corneal epithelium from trachoma, prolonged duration can lead to decreased vision and even blindness. Treatment of trachoma mainly involves the local and systemic use of antibiotics. Local medications primarily include 0.1% rifampicin, 0.5% tetracycline, and sulfonamide eye drops, while systemic medications may include oral doxycycline and other tetracyclines. The treatment course for trachoma is relatively long, generally requiring medication for at least six weeks or more. (Please follow medical advice from a doctor for specific medications.)