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JOURNAL ARTICLE
Sheila K West, Beatriz Munoz, Harran Mkocha, Matthew C Lynch, Catherine Gracewello, Mabula Kasubi, Meraf A Wolle
BACKGROUND: The Alliance for the Global Elimination of Trachoma (GET) endorses the full SAFE strategy to eliminate trachoma; Surgery (for trichiasis), Antibiotics (to reduce the community pool of infection, Facial cleanliness, and Environmental improvement (to decrease transmission). There is no accepted measure of facial cleanliness. This study compared two possible metrics for facial cleanliness. METHOD/FINDINGS: Metric one: Clean face was defined as observed absence of ocular and nasal discharge on the face...
April 10, 2024: PLoS Neglected Tropical Diseases
#2
JOURNAL ARTICLE
Xia Liu, Xiaojia Yan, Qianxue Yang, Meixia Wu, Yingshu Fu, Liuhui Yang, Minzhe Xing
OBJECTIVE: To study the nursing impact of traditional Chinese medicine on children undergoing trichiasis correction surgery with general anesthesia. METHODS: A total of 104 children with trichiasis admitted to the hospital for correction under general anesthesia from February 2020 to July 2023 were selected as the research objects. They were randomly divided into a comparison group (52 cases) and an observation group (52 cases). The comparison group was given routine nursing after surgery, and the observation group was given special nursing after surgery...
March 22, 2024: Alternative Therapies in Health and Medicine
#3
JOURNAL ARTICLE
Gábor Tóth, Andrea Lukács, Tanja Stachon, Frank Schirra, Gábor László Sándor, Zoltán Zsolt Nagy, Nóra Szentmáry
INTRODUCTION: This study analysed the causative factors and clinical characteristics of acute and chronic ocular sequelae of Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) treated at a large third-referral centre in a developed country (Hungary) over a 15-year period. METHODS: This was a retrospective review of patients with acute and/or chronic SJS/TEN who were managed between 2006 and 2020 at the Department of Ophthalmology of Semmelweis University in Budapest, Hungary...
March 20, 2024: Ophthalmology and Therapy
#4
JOURNAL ARTICLE
Daniela Vaz Ferreira Gomez, Wanessa da Silva de Almeida, Paulo Roberto Borges de Souza Junior, Maria de Fátima Costa Lopes, Expedito José de Albuquerque Luna, Ivan Ricardo Zimmermann, Noemia Urruth Leão Tavares, Maria Margarita Urdaneta Gutierrez, Célia Landmann Szwarcwald
OBJECTIVE: To estimate the prevalence of trachoma in indigenous and non-indigenous populations in selected areas of the state of Maranhão, in northeastern Brazil. METHODS: This was a population-based survey with probabilistic sampling. For the diagnosis of trachoma, external ocular examination was performed using head magnifying loupes, at 2.5X magnification. The prevalence of trachomatous inflammation - follicular (TF) in children aged 1-9 years and the prevalence of trachomatous trichiasis (TT) in the population aged ≥15 years were estimated...
2024: Pan American Journal of Public Health
#5
E Cañadillas Sánchez, E M Oliver García, A G Cañadillas Lucena
Entropion, a common malposition of the eyelid, can lead to trichiasis and corneal damage. This article presents a clinical case in which, following initial surgery to correct entropion, the use of a dermatological punch was chosen to definitively eliminate persistent trichiasis. This relatively unknown yet effective approach proved to be a quick and straightforward alternative with positive outcomes, emphasizing the importance of considering innovative approaches to recurrent challenges in clinical practice...
February 22, 2024: Archivos de la Sociedad Española de Oftalmología
#6
JOURNAL ARTICLE
Gillian M Cochrane, Magdelene Mangot, Wendy Houinei, Melinda Susapu, Anasaini Cama, Richard Le Mesurier, Sara Webster, Tessa Hillgrove, Jaki Barton, Robert Butcher, Emma M Harding-Esch, David Mabey, Ana Bakhtiari, Andreas Müller, Aya Yajima, Anthony W Solomon, John Kaldor, Samuel Peter Koim, Robert Ko, Jambi Garap
PURPOSE: The prevalence of trachomatous inflammation-follicular (TF) in Papua New Guinea (PNG) suggests antibiotic mass drug administration (MDA) is needed to eliminate trachoma as a public health problem but the burden of trichiasis is low. As a result, WHO issued bespoke recommendations for the region. If ≥ 20% of 10-14-year-olds have both any conjunctival scarring (C1 or C2 or C3) and corneal pannus and/or Herbert's pits, MDA should be continued. Equally, if ≥ 5% of that group have both moderate/severe conjunctival scarring (C2 or C3) and corneal pannus and/or Herbert's pits, MDA should be continued...
February 8, 2024: Ophthalmic Epidemiology
#7
Lionel Sebbag, Oren Pe'er
OBJECTIVE: Describe the presenting features, surgical procedure, and clinical outcomes of two cats managed with marginal resection and photodynamic therapy (PDT) for eyelid squamous cell carcinoma (SCC). ANIMALS STUDIED: A 12-year-old female spayed domestic shorthair cat (case 1) and a 10-year-old female spayed domestic shorthair cat (case 2). PROCEDURES: Following marginal resection of the eyelid neoplasm, hemostasis was achieved using a handheld cautery unit then 1 mL of infracyanine green was injected into the surgical wound bed...
February 6, 2024: Veterinary Ophthalmology
#8
JOURNAL ARTICLE
D Ilako, S Mwatha, Barasa E Wanyama, M Gichangi, J Bore, R Butcher, A Bakhtiari, S Boyd, R Willis, A W Solomon, T Watitu, D Chelanga, P Nyakundi, E M Harding-Esch, S H Matendechero
PURPOSE: Trachoma is endemic in Kenya. Since baseline trachoma surveys in 2004, a concerted programme has been undertaken to reduce the prevalence of disease. Here, we report on trachoma prevalence surveys carried out between 2017 and 2020 after interventions were implemented in some areas for trachoma elimination purposes. METHODS: A total of 48 cross-sectional population-based trachoma prevalence surveys were conducted in 39 evaluation units (EUs; covering 45 subcounties) of Kenya between 2017 and 2020...
February 6, 2024: Ophthalmic Epidemiology
#9
JOURNAL ARTICLE
Pattana Ongkasuwan
BACKGROUND: Reconstructing full-thickness defects involving 50% to 75% of the horizontal length of the lower eyelid after medial and central full-thickness block resection can be challenging. As a disadvanatge, 1-stage reconstructions may require a free graft reconstruction of the posterior lamella. In addition, 2-stage reconstructions are associated with several complications, including erythema, and the eye must be temporarily closed after surgery. METHODS: The present study describes a single-surgeon retrospective case series...
January 25, 2024: Annals of Plastic Surgery
#10
REVIEW
Melese Kitu, Kebadnew Mihretie, Taye Abuhay
BACKGROUND: Repeated infection with Chlamydia trachomatis causes trachomatous trichiasis (TT). Surgery is the main and preferred method of treatment. However, many people decline surgery despite the availability of free services in nearby health facilities. AIMZ: To identify the determinants of surgery refusal among TT patients in Ethiopia. METHODS: This community-based, case-control study was conducted among 338 cases and 338 controls from 5 October to 17 December 2018...
November 30, 2023: Eastern Mediterranean Health Journal
#11
JOURNAL ARTICLE
Meraf A Wolle, Beatriz E Muñoz, Glory Mgboji, Fahd Naufal, Michael Saheb Kashaf, Harran Mkocha, Sheila K West
BACKGROUND: Trachoma is a chronic conjunctivitis caused by the bacterium Chlamydia trachomatis. Repeated infections lead to trachomatous conjunctival scarring which can progress to potentially blinding trachomatous trichiasis (TT). In trachoma hyperendemic conditions, women compared to men have an increased risk of scarring and TT, which can progress to blinding corneal opacification. This study determined if there were gender differences in scarring prevalence and severity when trachoma prevalence approaches elimination, in a formerly trachoma hyperendemic region...
January 2024: PLoS Neglected Tropical Diseases
#12
JOURNAL ARTICLE
Jing Li, Xinyue Yu, Kerui Wang, Ziwei Meng, Xuanwei Liang, Rongxin Chen
PURPOSE: To evaluate the outcomes of modified combined fascia sheath and levator muscle complex suspension to correct severe congenital ptosis in pediatrics and the effect on refractive status. METHODS: This prospective, case series study enrolled patients (aged ≤18 years) with simple severe congenital ptosis at Zhongshan Ophthalmic Center. All patients were treated with combined fascia sheath + levator muscle suspension and followed up for 3 months. Preoperative and postoperative cycloplegic refraction and the best-corrected visual acuity were performed...
January 17, 2024: Ophthalmic Plastic and Reconstructive Surgery
#13
JOURNAL ARTICLE
Rebeca Costa Vitor, Jamille Bispo de Carvalho Teixeira, Katharine Costa Dos Santos, Gabriela Mota Sena de Oliveira, Paula Elisa Brandão Guedes, Anaiá da Paixão Sevá, Deusdete Conceição Gomes Junior, Jéssica Fontes Veloso, Renata Santiago Alberto Carlos
BACKGROUND: Shih-Tzu dogs are frequently affected by ocular surface disorders such as corneal ulceration and dry eye disease (DED). The aim of this study was to evaluate ocular surface homeostasis in Shih-Tzu dogs that have adequate aqueous production. Twenty-eight dogs were subjected to eyelid blink counting, Schirmer tear test (STT-1), ophthalmic evaluation, tear film break-up time (TBUT), fluorescein test and Masmali tear ferning (TF) grading scale. RESULTS: Of the 28 animals evaluated, the median value of incomplete eyelid blinks/min (median = 15...
January 17, 2024: Acta Veterinaria Scandinavica
#14
JOURNAL ARTICLE
William M Irving, Kelly Caruso, Matthew J Annear, Cameron Whittaker, Benjamin D Reynolds, Paul M G McCarthy, Jeffrey Smith
PURPOSE: To describe a technique for eyelid margin reconstruction following large mass resection utilizing a free labial mucocutaneous graft. METHODS: Four dogs (4 eyes) underwent en bloc eyelid mass excision under general anesthesia. Measurements were made of the mass followed by free labial mucocutaneous graft retrieval, resection of the mass, and then transplantation of retrieved region of labial mucocutaneous tissue into the resulting defect. RESULTS: Three patients underwent eyelid margin reconstruction with a free labial mucocutaneous graft...
January 10, 2024: Veterinary Ophthalmology
#15
JOURNAL ARTICLE
Seyed Mehdi Rajaei, Houman Faghihi, Fatemeh Zahirinia
PURPOSE: To evaluate the frequency of ophthalmic disorders in Shih Tzus. ANIMALS: Five hundred client-owned Shih Tzu dogs (1000 eyes). PROCEDURES: Medical records of 500 Shih Tzu dogs were reviewed and ophthalmic examination data were collected and analyzed. RESULTS: In total, out of 1000 eyes, 964 (96.4%; OD: 480 eyes, OS: 484 eyes) had at least one ophthalmic abnormality, and only 36 eyes (3.6%; OD: 20 eyes, OS: 16 eyes) were diagnosed as normal...
January 3, 2024: Veterinary Ophthalmology
#16
JOURNAL ARTICLE
Ezzeldin Ramadan Ezzeldin, Akram Fekry Elgazzar, Mostafa Osman Hussein, Ezzat Nabil Abbas Ibrahim, Ehab Tharwat
PURPOSE: In recent years, there has been a significant shift from this destructive procedure to a reconstructive procedure such as anterior lamellar recession (ALR) and bilamellar tarsal rotation (BLTR). The aim is to report the outcomes and success rates of ALR compared to BLTR in patients with upper lid cicatricial trichiasis. MATERIALS AND METHODS: Our study is a prospective, interventional, comparative study that was conducted at the Ophthalmology Department of Al-Azhar University Hospital, New Damietta, Egypt...
2023: Taiwan Journal of Ophthalmology
#17
JOURNAL ARTICLE
Kareen Atekem, Emma M Harding-Esch, Diana L Martin, Philip Downs, Stephanie L Palmer, Achille Kaboré, Michaela Kelly, Anoma Bovary, Astou Sarr, Konan Nguessan, Fiona James, Sarah Gwyn, Karana Wickens, Ana Bakhtiari, Sarah Boyd, Ange Aba, Laura Senyonjo, Paul Courtright, Aboulaye Meite
Baseline trachoma surveys in Côte d'Ivoire (2019) identified seven evaluation units (EUs) with a trachomatous inflammation-follicular (TF) prevalence ≥10%, but a trachomatous trichiasis (TT) prevalence in individuals ≥15 y of age below the elimination threshold (0.2%). Two of these EUs, Bondoukou 1 and Bangolo 2, were selected for a follow-up survey to understand the epidemiology of trachoma using additional indicators of Chlamydia trachomatis infection (DNA from conjunctival swabs) and exposure (anti-Pgp3 and Ct694 antibodies from dried blood spots [DBSs])...
December 4, 2023: International Health
#18
JOURNAL ARTICLE
Kristin M Sullivan, Emma M Harding-Esch, Wilfrid E Batcho, Amadou A Bio Issifou, Maria de Fátima Costa Lopes, Celia Landmann Szwarcwald, Daniela Vaz Ferreira Gomez, Clarisse Bougouma, Nassa Christophe, Martin Kabore, Victor Bucumi, Assumpta L Bella, Emilienne Epee, Georges Yaya, Julian Trujillo-Trujillo, Michael Dejene, Fikre Seife Gebretsadik, Genet Gebru, Fikreab Kebede, Tsedeke Mathewos, Eunice Texiera de Silva Cassama, Salimato Sanha, Ernest Barasa, Hadley Matendechero Sultani, Titus Watitu, Rabebe Tekeraoi, Khumbo M Kalua, Michael P Masika, Lamine Traoré, Abdallahi O Minnih, Mariamo Abdala, Marília E Massangaie, Ye Win, Sue-Chen Apadinuwe, Sailesh Kumar Mishra, Shekhar Sharma, Abdou Amza, Boubacar Kadri, Beido Nassirou, Caleb D Mpyet, Nicholas Olobio, Arif Hussain, Asad Aslam Khan, Garap Jambi, Robert Ko, Amir B Kello, Mouctar D Badiane, Boubacar Sarr, Abdi Dalmar, Balgesa E Elshafie, George E Kabona, Oscar Kaitaba, Upendo Mwingira, Alistidia Simon, Sarjo Kanyi, Marcel S Awoussi, Kwamy Togbey, Gilbert Baayenda, Mugume Francis, Edridah M Tukahebwa, Ana Bakhtiari, Alexander P Keil, Joanna Maselko, Daniel Westreich, Mackline Garae, Fasiah Taleo, Tawfik Q Al-Khateeb, Consity Mwale, Anthony W Solomon, Emily W Gower
BACKGROUND: Trachomatous trichiasis (TT) is a painful, potentially blinding eye condition that can be managed through epilation or surgery. Women are affected by TT approximately twice as often as men and are believed to face gendered barriers to receiving surgical care to prevent vision loss. METHODS: We used data from 817 cross-sectional surveys conducted during 2015-2019 in 20 African countries to estimate the prevalence difference (PD) between female and male eyes for four outcomes potentially indicating gender-related differences in TT management: (1) received surgery and developed postoperative TT (PTT), (2) never offered surgery, (3) offered surgery but declined it, and (4) offered epilation but never offered surgery...
December 4, 2023: International Health
#19
JOURNAL ARTICLE
Getachew Gebreselassie, Kasahun Negash, Sentayehu Tsegaye, Misrak Makonnen, Baye Deneke, Muluken Desalegn, Emma M Harding-Esch, Anna Harte, Anthony W Solomon, Sarah Boyd, Ana Bakhtiari, Mussie Abdosh Hassen, Abdulahi Hambali, Michael Dejene, Colin Beckwith, Fentahun Tadesse, Fikre Seifu, Genet Kiflu, Fikreab Kebede
BACKGROUND: Following interventions to eliminate trachoma in Somali region, Ethiopia, we aimed to re-estimate the prevalence of trachomatous trichiasis (TT) and trachomatous inflammation-follicular (TF) at woreda level and identify the factors associated with the disease. METHODS: We implemented cross-sectional community-based surveys in 50 trachoma-endemic woredas, using a standardized survey. Households were the secondary sampling unit. Surveys were undertaken through a combination of interviews of household heads and direct inspection of water, sanitation and hygiene (WASH) access, plus clinical evaluation of eligible household members for TT and TF...
December 4, 2023: International Health
#20
JOURNAL ARTICLE
Yassin Nayel, Beatriz E Muñoz, Harran Mkocha, Sheila K West, Meraf A Wolle
BACKGROUND: The purpose was to assess an expansion of a previously published photographic four-step severity grading scale for trachomatous scarring (TS). METHODS: Images of everted eyelids of adult women in Tanzania were graded for the presence and severity of TS. The previous S3 grade was subdivided into two categories: S3A, one-third to <50% of the upper eyelid conjunctiva scarred; and S3B, 50% to <90%. The reliability and ease of use were evaluated. This new categorisation was then applied to images taken of the same women 5 y prior to evaluate whether it could help detect previously undetected progression...
December 4, 2023: International Health
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