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Trachoma: Medical and Surgical Management

  • Essam A. El Toukhy
Chapter

Abstract

Trachoma is the most common cause of cicatricial entropion worldwide. Tarsal fracture and lid margin rotation is the principal surgical technique used for correction. The transconjunctival approach offers a simple, rapid, and highly effective approach without the need for a skin incision. It is used for both the upper and lower lids.

Keywords

Trachoma Entropion Trichiasis Tarsal rotation 

Supplementary material

419986_5_En_58_MOESM1_ESM.mp4 (122.1 mb)
Video 58.1 Upper eyelid tarsotomy. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Upper-eyelid-tarsotomy.htm (MP4 125019 kb)
419986_5_En_58_MOESM2_ESM.mp4 (97.7 mb)
Video 58.2 Lower eyelid tarsotomy for cicatricial entropion. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Lower-eyelid-tarsotomy.htm (MP4 100042 kb)

References

  1. 1.
    Solomon A, editor. Trichiasis surgery for trachoma. 2nd ed. Geneva: WHO; 2015. http://apps.who.int/iris/bitstream/10665/​155227/1/9789241549011_eng.pdf?ua=1.
  2. 2.
    Habtamu E, Wondie T, Aweke S, Tadesse Z, Zerihun M, Zewudie Z, et al. Posterior lamellar versus bilamellar tarsal rotation surgery for trachomatous trichiasis in Ethiopia: a randomized control trial. Lancet Glob Health. 2016;4(3):e175–84.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Burton M, Habtamu E, Ho D, Gower EW. Interventions for trachoma trichiasis. Cochrane Database Syst Rev. 2015;13(11):CD004008.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Ophthalmology, School of MedicineCairo UniversityCairoEgypt

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