دورية أكاديمية
The prevention and management of postoperative trachomatous trichiasis: A systematic review.
العنوان: | The prevention and management of postoperative trachomatous trichiasis: A systematic review. |
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المؤلفون: | Kreis AJ; Experimental Ophthalmology, University of Geneva, Geneva, Switzerland; Department of Ophthalmology, University Hospitals of Geneva, Geneva, Switzerland. Electronic address: andreas.kreis@unige.ch., Gower EW; Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Kropp M; Experimental Ophthalmology, University of Geneva, Geneva, Switzerland; Department of Ophthalmology, University Hospitals of Geneva, Geneva, Switzerland., Kello AB; World Health Organization Regional Office for Africa, Brazzaville, Congo., Nouhoum G; Techniques and Technologies of Bamako, Institut d'Ophtalmologie Tropicale d'Afrique, University of the Sciences, Bamako, Mali., Resnikoff S; Organisation pour la Prévention de la Cécité, Paris, France; School of Optometry & Vision Science (SOVS), University of New South Wales, Sydney, Australia., Talero SL; Research Department of Development and Innovation, Superior School of Ophthalmology, Barraquer Institute of America, Bogotá, Colombia., Solomon AW; Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland. |
المصدر: | Survey of ophthalmology [Surv Ophthalmol] 2024 Jan-Feb; Vol. 69 (1), pp. 93-102. Date of Electronic Publication: 2023 Mar 05. |
نوع المنشور: | Systematic Review; Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 0404551 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-3304 (Electronic) Linking ISSN: 00396257 NLM ISO Abbreviation: Surv Ophthalmol Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: New York, NY : Elsevier Science, |
مواضيع طبية MeSH: | Trachoma*/complications , Trachoma*/prevention & control , Trichiasis*/surgery , Trichiasis*/etiology , Vision, Low*, Humans ; Conjunctiva ; Blindness |
مستخلص: | Among ocular infections, trachoma is the main cause of blindness. Repeated conjunctival Chlamydia trachomatis infections lead to trichiasis, corneal opacification, and visual impairment. Surgery is often needed to relieve discomfort and preserve vision; however, a high postoperative trachomatous trichiasis (PTT) rate has been observed in various settings. We wanted to know why, whether PTT rates could be reduced, and how to manage the PTT that occurs. We performed a search of the literature. Of 217 papers screened, 59 studies were identified for inclusion as potentially relevant, the majority having been excluded for not directly concerning PTT in humans. Preventing PTT is a major challenge. Only one published trial, the STAR trial in Ethiopia, has reported a cumulative PTT rate <10% one year after surgery. The literature on the management of PTT is sparse. Though no PTT management guidelines are available, high-quality surgery with a low rate of unfavorable outcomes for PTT patients is likely to require enhanced training of a smaller group of highly-skilled surgeons. Based on the surgical complexity and the authors' own experience, the pathway for patients suffering from PTT should be studied further for improvement. (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.) |
معلومات مُعتمدة: | 001 International WHO_ World Health Organization |
فهرسة مساهمة: | Keywords: PTT; Postoperative Trachomatous Trichiasis; Systematic Review; Trachoma; Trichiasis Surgery |
تواريخ الأحداث: | Date Created: 20230306 Date Completed: 20231201 Latest Revision: 20240202 |
رمز التحديث: | 20240202 |
DOI: | 10.1016/j.survophthal.2023.02.008 |
PMID: | 36878359 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1879-3304 |
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DOI: | 10.1016/j.survophthal.2023.02.008 |