How to eliminate trachoma follicles

Written by Tao Yuan
Ophthalmology
Updated on September 01, 2024
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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 Tao Yuan
Ophthalmology
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Trachoma papillary hyperplasia refers to the growth of papillary formations on the conjunctiva due to trachoma.

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 Li Zhen Dong
Ophthalmology
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The difference between trachoma and stye

Trachoma is a chlamydial infection, while a stye is an infection caused by Staphylococcus aureus. Trachoma manifests as the formation of trachoma follicles, hyperplasia, and inflammation on the inner surfaces of the eyelid and conjunctiva, with symptoms including redness, swelling, pain in the eyes, neovascularization of the cornea, and vascular pannus. A stye presents with redness, swelling, heat, and pain in the eyelid, mainly caused by inflammation. In terms of treatment, trachoma mainly uses rifampin eye drops; styes are treated with levofloxacin eye drops, and erythromycin or tobramycin ointment at night, with no hot compresses applied. Typically, a stye can heal within about a week, whereas trachoma requires a longer treatment period, and it is important to rest and undergo regular check-ups. (The use of medications should be carried out under the guidance of a physician)

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Written by Wang Fang
Ophthalmology
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What does "syphilis negative" mean?

A negative test for trachoma means that the individual does not have the disease. Trachoma is a chronic infectious disease of the conjunctiva of the eye surface, caused by Chlamydia trachomatis infection. The acute phase of trachoma can manifest as redness, swelling, tearing, increased discharge, and a foreign body sensation in the eyes. If not well-controlled, trachoma can become chronic over time. Due to damage to the corneal epithelium from trachoma, prolonged duration can lead to decreased vision and even blindness. Treatment of trachoma mainly involves the local and systemic use of antibiotics. Local medications primarily include 0.1% rifampicin, 0.5% tetracycline, and sulfonamide eye drops, while systemic medications may include oral doxycycline and other tetracyclines. The treatment course for trachoma is relatively long, generally requiring medication for at least six weeks or more. (Please follow medical advice from a doctor for specific medications.)

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Written by Peng Xi Feng
Ophthalmology
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Trachoma has several treatment methods.

Trachoma is a chronic infectious conjunctival and corneal inflammation caused by Chlamydia trachomatis infection and is one of the leading causes of blindness. Around three hundred to six hundred million people worldwide are infected with trachoma. Treatment includes systemic and local ocular medication, as well as treatment for complications. Local treatments include 0.1% rifampicin eye drops, 0.1% tetrahydropalmatine eye drops, or 0.5% neomycin eye drops. Erythromycin or tetracycline eye ointments are used at night, with a treatment duration of at least ten to twelve weeks. Acute or severe cases of trachoma should be treated with systemic antibiotics. Surgical correction of trichiasis and entropion is crucial to prevent late-stage trachoma scarring that leads to blindness.

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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.