Trachoma - Revision history

Danbot: Add peer-reviewed reference

2026-03-22T10:16:48Z

Add peer-reviewed reference

← Revisión anterior		Revisión del 10:16 22 mar 2026
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis<ref>Solomon AW, et al. Trachoma. Nat Rev Dis Primers. 2022;8(1):32. PMID 35618795</ref>
	====WHO classification====		====WHO classification====
	*Simplified grading system composed of 5 clinical signs of infection		*Simplified grading system composed of 5 clinical signs of infection

Danbot: Strip excess bold

2026-03-22T09:39:11Z

Strip excess bold

Rossdonaldson1: /* Clinical Features */

2024-10-23T21:51:26Z

Clinical Features

← Revisión anterior		Revisión del 21:51 23 oct 2024
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	==Clinical Features==		==Clinical Features==
			[[File:trachoma.jpg\|thumbnail\|[http://www.flickr.com/photos/communityeyehealth/5686867974/in/photolist-9yvAnR-9yvAf2-9yyAQw-9yyBq3-9yyB9Y-9EwFHQ-dW9VqU-dW4jzi-dW9Vqf-9yyBE1-9yvA22-9EtLZc-9wnCPz-fkvMSo-9yyAVm-dWa7P1-dWa7HU-dWa7mQ-9wqCPE-9wS7eH-dW4vt4-dWa7C7-dW4vNv-dW9VpW-dW4vnv-dWa7SL-dWa7Gw-dW4w8T-dWa7Vw-9yyAMU-dWa7e3-dWa7sQ-fofWkV-dW4vAD-dWa7zd-dW4vAH-9i9MxD-fkoX9y-9Ab3zW-cQSPYL-cXe39U-dhUoe1-9yvA88-9wV76Q-9yvAqM-pWqs-9hocNj-aBgF8w-9oSHXb-dWuo2J Trachoma Stages]]]
			[[File:Corneal scarring trachoma.jpg\|thumb\|Corneal Scarring - End Stage Trachoma]]
	===Acute===		===Acute===
	*[[Conjunctivitis]]-like symptoms		*[[Conjunctivitis]]-like symptoms

Rossdonaldson1: /* Background */

2024-10-23T21:51:01Z

Background

← Revisión anterior		Revisión del 21:51 23 oct 2024
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	==Background==		==Background==
	[[File:~~trachoma~~.~~jpg~~\|~~thumbnail~~\|[~~http~~:~~//www~~.~~flickr~~.com/photos/communityeyehealth/5686867974/in/photolist-9yvAnR-9yvAf2-9yyAQw-9yyBq3-9yyB9Y-9EwFHQ-dW9VqU-dW4jzi-dW9Vqf-9yyBE1-9yvA22-9EtLZc-9wnCPz-fkvMSo-9yyAVm-dWa7P1-dWa7HU-dWa7mQ-9wqCPE-9wS7eH-dW4vt4-dWa7C7-dW4vNv-dW9VpW-dW4vnv-dWa7SL-dWa7Gw-dW4w8T-dWa7Vw-9yyAMU-dWa7e3-dWa7sQ-fofWkV-dW4vAD-dWa7zd-dW4vAH-9i9MxD-fkoX9y-9Ab3zW-cQSPYL-cXe39U-dhUoe1-9yvA88-9wV76Q-9yvAqM-pWqs-9hocNj-aBgF8w-9oSHXb-dWuo2J Trachoma Stages]]]		[[File:Gray896.png\|thumb\|Anterior view of the right eye, with lacramal duct shown medial.]]
	[[File:~~Corneal scarring trachoma~~.~~jpg~~\|thumb~~\|Corneal Scarring - End Stage Trachoma~~]]		[[File:Gray894.png\|thumb\|The tarsi and their ligaments. Right eye; anterior view.]]
			[[File:eyelid glands.png\|thumb]]
	*'''Most common cause of infectious blindness worldwide'''		*'''Most common cause of infectious blindness worldwide'''
	*Caused by [[Chlamydia trachomatis]]		*Caused by [[Chlamydia trachomatis]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T05:27:29Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 05:27 26 jul 2016
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	==Differential Diagnosis==		==Differential Diagnosis==

	==~~Diagnosis~~==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	====WHO classification====		====WHO classification====

ClaireLewis: /* Management */

2016-07-13T22:49:07Z

Management

← Revisión anterior		Revisión del 22:49 13 jul 2016
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	**'''A''' - Antibiotics		**'''A''' - Antibiotics
	***Tetracycline 1% eye ointment		***Tetracycline 1% eye ointment
	****'''~~Compliance~~ issues''' secondary to difficulty in use and uncomfortable to apply		****'''Adherence issues''' secondary to difficulty in use and uncomfortable to apply
	***Azithromycin (20mg/kg) single dose		***[[Azithromycin]] (20mg/kg) single dose
	****Relatively expensive in resource poor settings		****Relatively expensive in resource poor settings
	**'''F''' - Facial cleanliness		**'''F''' - Facial cleanliness

ClaireLewis: /* Clinical Features */

2016-07-13T22:48:34Z

Clinical Features

← Revisión anterior		Revisión del 22:48 13 jul 2016
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	==Clinical Features==		==Clinical Features==
	===Acute===		===Acute===
	*Conjunctivitis like symptoms		*[[Conjunctivitis]]-like symptoms
	**Conjunctival follicles (white lumps) on the inner upper eyelid		**Conjunctival follicles (white lumps) on the inner upper eyelid
	**Non-specific inflammation and thickening of the conjunctiva		**Non-specific inflammation and thickening of the conjunctiva
Línea 22:		Línea 22:
	***Scarring of the inner eyelid that leads to buckling of the lid		***Scarring of the inner eyelid that leads to buckling of the lid
	****This causes the eyelashes to turn inwards '''(Trichiasis)''' and rub on the cornea causing repetitive trauma that leads to opacities and scarring of the cornea		****This causes the eyelashes to turn inwards '''(Trichiasis)''' and rub on the cornea causing repetitive trauma that leads to opacities and scarring of the cornea
	*Major complications include corneal ulcers		*Major complications include [[corneal ulcers]]

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Background */

2016-07-13T22:47:30Z

Background

← Revisión anterior		Revisión del 22:47 13 jul 2016
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	[[File:Corneal scarring trachoma.jpg\|thumb\|Corneal Scarring - End Stage Trachoma]]		[[File:Corneal scarring trachoma.jpg\|thumb\|Corneal Scarring - End Stage Trachoma]]
	*'''Most common cause of infectious blindness worldwide'''		*'''Most common cause of infectious blindness worldwide'''
	*Caused by Chlamydia trachomatis		*Caused by [[Chlamydia trachomatis]]
	**Spread by direct contact, fomites (towels, clothes, bed covers), and flies (those that have landed on or near the mouth or eyes of other infected individuals)		**Spread by direct contact, fomites (towels, clothes, bed covers), and flies (those that have landed on or near the mouth or eyes of other infected individuals)
	*More than 6 million blind secondary to trachoma and more than 150 million in need of treatment		*More than 6 million blind secondary to trachoma and more than 150 million in need of treatment

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-09T16:30:20Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 16:30 9 jul 2016
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	***Must blur part of the pupil margin		***Must blur part of the pupil margin

	==~~Treatment~~==		==Management==
	*'''S.A.F.E.''' strategy proposed by WHO		*'''S.A.F.E.''' strategy proposed by WHO
	**'''S''' - Surgery		**'''S''' - Surgery

Ostermayer: Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

2016-03-22T16:59:10Z

Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

← Revisión anterior		Revisión del 16:59 22 mar 2016
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	[[Category:ID]]		[[Category:ID]]
	[[Category:~~TropMed~~]]		[[Category:Tropical Medicine]]

← Revisión anterior		Revisión del 09:39 22 mar 2026
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	[[File:Gray894.png\|thumb\|The tarsi and their ligaments. Right eye; anterior view.]]		[[File:Gray894.png\|thumb\|The tarsi and their ligaments. Right eye; anterior view.]]
	[[File:eyelid glands.png\|thumb]]		[[File:eyelid glands.png\|thumb]]
	*~~'''~~Most common cause of infectious blindness worldwide~~'''~~		*Most common cause of infectious blindness worldwide
	*Caused by [[Chlamydia trachomatis]]		*Caused by [[Chlamydia trachomatis]]
	**Spread by direct contact, fomites (towels, clothes, bed covers), and flies (those that have landed on or near the mouth or eyes of other infected individuals)		**Spread by direct contact, fomites (towels, clothes, bed covers), and flies (those that have landed on or near the mouth or eyes of other infected individuals)
Línea 24:		Línea 24:
	**Caused by structural changes to the inner eyelid		**Caused by structural changes to the inner eyelid
	***Scarring of the inner eyelid that leads to buckling of the lid		***Scarring of the inner eyelid that leads to buckling of the lid
	****This causes the eyelashes to turn inwards ~~'''~~(Trichiasis)~~'''~~ and rub on the cornea causing repetitive trauma that leads to opacities and scarring of the cornea		****This causes the eyelashes to turn inwards (Trichiasis) and rub on the cornea causing repetitive trauma that leads to opacities and scarring of the cornea
	*Major complications include [[corneal ulcers]]		*Major complications include [[corneal ulcers]]

Línea 45:		Línea 45:

	==Management==		==Management==
	*~~'''~~S.A.F.E.~~'''~~ strategy proposed by WHO		*S.A.F.E. strategy proposed by WHO
	**~~'''~~S~~'''~~ - Surgery		**S - Surgery
	***Bilamellar tarsal rotation procedure recommended by WHO		***Bilamellar tarsal rotation procedure recommended by WHO
	**~~'''~~A~~'''~~ - Antibiotics		**A - Antibiotics
	***Tetracycline 1% eye ointment		***Tetracycline 1% eye ointment
	****~~'''~~Adherence issues~~'''~~ secondary to difficulty in use and uncomfortable to apply		****Adherence issues secondary to difficulty in use and uncomfortable to apply
	***[[Azithromycin]] (20mg/kg) single dose		***[[Azithromycin]] (20mg/kg) single dose
	****Relatively expensive in resource poor settings		****Relatively expensive in resource poor settings
	**~~'''~~F~~'''~~ - Facial cleanliness		**F - Facial cleanliness
	***Helps decrease disease transmission		***Helps decrease disease transmission
	**~~'''~~E~~'''~~ - Environmental management		**E - Environmental management
	***WHO emphasizes access to latrine and clean water		***WHO emphasizes access to latrine and clean water