EyeRounds Online Atlas of Ophthalmology

Contributor:
William Charles Caccamise Sr,MD, Retired Clinical Asst Prof of Ophthal. U.of Rochester School of Medicine & Dentistry

Category: Oculoplastics
Diagnosis: trachoma: post-op trichiasis-entropion repair of upper lid

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

Image Comments:

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.

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


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


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


 

 

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