Should trachoma be operated?
Trachoma, also called conjunctivitis, is a special type of conjunctivitis caused by Chlamydia trachomatis. If trachoma is diagnosed by slit lamp examination, rifampicin eye drops and tetracycline eye ointment should be used regularly under the guidance of a doctor for anti-inflammatory and symptomatic treatment. Generally, surgery is not needed. Unless there is obvious nipple follicular hyperplasia, trachoma follicular extrusion can be performed; If there are complications of trachoma, such as entropion and trichiasis, corrective surgery is needed.
How to treat trachoma?
1, eye drops for external use
Commonly used 15%~30% sodium sulfacetamide eye drops, also known as zebra brand eye drops, 0. 1% rifampicin eye drops, 0. 1% peptide butylamine eye drops, etc. 65438+ 0~3 drops each time, 3~4 times a day, and you can apply chlortetracycline eye ointment at night.
2, local rubbing or hair follicle extrusion method
If it is trachoma with many follicles, the doctor can destroy the follicles with cuttlebone or follicle squeezing forceps. 65438+ 0 times a week, 2~3 times of treatment can be effective, but it can not be cured, and patients still need to cooperate with drug treatment.
3. Other therapies
Mild trachoma can generally be treated locally, while patients with severe active trachoma or corneal ulcer need to be treated with sulfonamides or antibiotics under the guidance of a doctor, and vitamin AD tablets can also be taken orally to promote corneal epithelial repair and reduce eye discomfort.
How to prevent trachoma
Chlamydia trachomatis often adheres to the secretions of patients' eyes, and any contact with this secretion will cause the chance of trachoma spreading infection.
Therefore, we should strengthen publicity and education, pass on the knowledge of eye disease prevention to the masses, and implement the policy of putting prevention first. Cultivate good hygiene habits. Don't rub your eyes with your hands, wash towels and handkerchiefs frequently; Nurseries, schools, factories and other collective units should be divided into pots and towels or running water to wash their faces. We should actively treat trachoma patients, strengthen the health management of barber shops, bathrooms, hotels and other service industries, strictly implement disinfection systems such as towels and washbasins, and pay attention to clean water sources.
Symptoms of trachoma
Acute trachoma
The symptoms of acute follicular conjunctivitis are eyelid swelling and conjunctival hyperemia. Due to nipple hyperplasia, the conjunctiva on the upper and lower fornix is covered with follicles, accompanied by diffuse corneal dermatitis and preauricular lymphadenopathy, which can turn into chronic phase after several weeks.
Chronic trachoma
Because of repeated infection, the course of disease is prolonged for several years to more than ten years, the degree of congestion is reduced, nipple hyperplasia and follicular formation occur, and the follicles are different in size and have a gelatinous appearance. The lesions are obvious in the upper part of the fornix and the upper part of the conjunctiva of the eyelid plate, and the lower part of the conjunctiva and the lower part of the conjunctiva also have the same lesions, and even the semilunar folds can be invaded in severe cases.