University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Oculoplastics

Trachoma: post-op trichiasis-entropion repair of upper lid

trachoma: post-op trichiasis-entropion repair of upper lid

There are several standard procedures for attempting to correct entropion with trichiasis due to trachoma. They all are at an extreme disadvantage if the patient's trachoma remains active after surgery. In several procedures a wedge dissection of the superior tarsus is made in an attempt to overcome the entropion. This may be combined with tarsal rotation and splitting at the gray line. Prior to and after surgery, the patient is treated intensively for trachoma. Unfortunately, longterm followup is frequently lacking, so that statistical evaluation of the various operations leaves much to be desired in countries where trachoma is endemic and occurs in overwhelming abundance.

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Ophthalmic Atlas Images by, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 02-08-2008