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

Written by Tao Yuan
Ophthalmology
Updated on September 02, 2024
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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 Peng Xi Feng
Ophthalmology
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Does trachoma need treatment?

Trachoma is a chronic infectious conjunctivitis that can lead to blindness, so once diagnosed with trachoma, it is essential to undergo both systemic and local drug treatment. Systemic treatment includes the acute phase, where severe trachoma requires systemic use of antibiotics, generally for three to four weeks. Local treatment involves the application of rifampin, penicillin, and other eye drops, and erythromycin eye ointment, etc., for at least ten to twelve weeks. If complications such as entropion, trichiasis, ptosis, symblepharon, or chronic dacryocystitis occur, surgical correction is necessary.

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Written by Tao Yuan
Ophthalmology
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How to eliminate trachoma follicles

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
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Warm compress or cold compress for trachoma

Trachoma generally does not recommend hot or cold compresses, as it is caused by a Chlamydia trachomatis infection. For the treatment of trachoma, the main medications used are rifampicin eye drops, ofloxacin eye drops, and an eye ointment such as tobramycin ointment used once at night. Trachoma is somewhat contagious, mainly transmitted through contact; it is not transmitted without contact. Therefore, its contagious nature should be noted. The treatment process for trachoma is relatively slow, and recovery is also slow. It is relatively easy to reduce the symptoms in the eyes, but complete recovery is currently difficult. Therefore, it is important to persist with the medication, generally for about a month.

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Written by Peng Xi Feng
Ophthalmology
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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
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How is trachoma transmitted?

Trachoma is somewhat contagious. When it is confirmed as trachoma, the eyelids and the conjunctiva of the eyes will carry the bacterium due to Chlamydia infection. When patients touch their eyes with their hands, their fingers or palms are already carrying the bacteria, including Chlamydia. Therefore, when they come into contact with others, cross-infection can occur. Prevention of trachoma primarily involves avoiding contact infection, improving environmental hygiene, enhancing the sanitary management of service industries such as hotels, swimming pools, and barber shops, and developing good hygiene habits, including avoiding rubbing the eyes with hands.