Wednesday, 7 December 2016

Trachoma/Rough Eye/Egyptian Ophthalmia - Management

WhatsApp YOUR NAME TO 7032762875 TO GET FREE NOTES DIRECTLY INTO YOUR MOBILE

Trachoma/Rough Eye/Egyptian Ophthalmia - Management


Diagnosis

  • Field diagnosis - at least 2 in 0-10yrs of age.
    • Follicles on upper tarsal conjunctiva
    • Limbal follicles or herbert pits
    • Conjunctival scarring(trichiasis,Entropion)
    • pannus

Management

  • Treatment of choice - Azithromycin 20mg/kg oral stat.
  • Current WHO Recommendations for treatment
    • District level prevalence >10% in 1-9yrs old - Mass treatment with azithromycin.
    • District level prevalence >5-10% in 1-9yrs old - targeted treatment with azithromycin(identification & treatment of all members of any family in whom one or more members have follicular trachoma).
    • District level prevalence >5% in 1-9yrs old - azithromycin not necessary.

  • Mass treatment(WHO new guidelines)(Blanket Therapy)
    • Indication - >10% prevalence of severe and moderate trachoma in <10yrs.
    • Treatment - Azithromycin.

SAFE Strategy

  • Surgery - for trichiasis
  • Antibiotics
  • Facial cleanliness
  • Environmental improvement


Posted by at

1 comment:

  1. Medicine Nerd8 February 2017 at 00:37

    Thanks for sharing, you can find some useful information here
    The major cause of blindness in many developing countries.
    Trachoma (Granular ophthalmitis)

    ReplyDelete

Subscribe to: Post Comments (Atom)