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Mr. Manikandan.T,
RN., RM., M.Sc(N)., D.C.A .,(Ph.D)
Assistant Professor,
Dept. of Medical Surgical Nursing,
VMCON, Puducherry.
DEFINITION
• Bilateral chronic follicular conjunctivitis of
childhood that leads to blindness during
adulthood if left untreated.
• Primarily affecting superficial epithelium of
conjunctiva and cornea
Causes
• Chlamydia
• Climate – dry and dusty weather
• Exposure to dust
Symptoms
• Mild foreign body sensation
• Occasional lacrimation
• Scanty mucoid discharge
• Eyelid scaring
Diagnosis
• H.C
• P/E
• Conjunctival cytology
• ELISA
Management
• Topical antibiotic – tetracycline / erythromycin
• Face washing and hand-washing
• Controlling flies
• Proper waste management
• eyelid rotation surgery (bilamellar tarsal rotation), your doctor
makes an incision in your scarred lid and rotates your
eyelashes away from your cornea

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Trachoma