Trachoma Teaching Set © 1999, updated 2007 International Centre for Eye Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E.

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Presentation transcript:

Trachoma Teaching Set © 1999, updated 2007 International Centre for Eye Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. Supported by International Trachoma Initiative, CBM International, Sight Savers International. INTERNATIONAL CENTRE FOR EYE HEALTH

Major Causes of Blindness Worldwide (in millions) Cataract 17.7 Glaucoma 4.6 Age-related macular degeneration 3.2 Corneal opacities 1.9 Diabetic retinopathy 1.8 Childhood blindness 1.4 Trachoma 1.3 Onchocerciasis0.3 Others Trachoma

2. Chlamydia Trachomatis

3. Risk Factors for Trachoma (1)

4. Risk Factors for Trachoma (2)

5. Risk Factors for Trachoma (3)

6. Age and Trachoma

7. Anatomy of Trachoma

8. Clinical Examination for Trachoma

9. Clinical Presentation of Trachoma Trachoma: Grading System TF = Trachomatous inflammation - (follicles): five or more follicles, at least 0.5mm in size, on the 'flat' surface of the upper tarsal conjunctiva. TI = Trachomatous inflammation - (intense): inflammatory thickening of the upper tarsal conjunctiva with more than half of the normal deep tarsal vessels obscured. TS = Trachomatous scarring: scarring of the tarsal conjunctiva (fibrosis). TT = Trachomatous trichiasis: at least one eyelash rubbing on the eyeball or evidence of eyelash removal. CO = Corneal Opacity: where at least part of the pupil is blurred or obscured.

10. Inflammatory Trachoma - Follicles (TF)

11. Inflammatory Trachoma - Intense (TI)

12. Conjunctival Scarring of Trachoma (TS)

13. Trichiasis of Trachoma (TT)

14. Corneal Opacity due to Trachoma (CO)

15. Summary of Trachoma Grading System

16. Differential Diagnosis

17. Medical Treatment of Trachoma

18. Trichiasis and Epilation

19. Surgery for Upper Eyelid Entropion

20. Prevention 1: Personal and Community Hygiene Trachoma: Community Hygiene and Sanitation 1.Good personal hygiene. Daily face washing/hand washing 2.A good water supply near to the community 3.Ventilated pit latrines 4.Animals housed at a distance from community homes 5.Health education

21. Prevention 2: Face and Hand Washing

22. Prevention 3: Community Health Education: The Environment

23. Public Awareness and Community Participation: The SAFE Strategy

24. Trachoma Control: Assessment and Strategy