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5. Eye diseases
Treatment
– S ta ge s I a nd II:
•C le a n e ye s a nd fa c e s e v e r a l tim e s p e r d a y.
•A ntib iotic the r a p y:
The tr e a tm e nt of c hoic e is azithromycin P O :
C hild r e n ov e r 6 m onths or ov e r 6 kg: 2 0 m g/ kg a s a s ingle d os e
A d u lts : 1 g a s a s ingle d os e
F a iling the a b ov e , a p p ly 1% tetracycline eye ointment: 2 tim e s / d a y for 6 w e e ks
I n c hild r e n u nd e r 6 m onths or 6 kg: erythromycin P O (4 0 m g/ kg/ d a y in 2
d iv id e d
d os e s for 1 4 d a ys )
– S ta ge II I: no tr e a tm e nt
– S ta ge IV : s u r gic a l tr e a tm e nt
W hile w a iting for s u r ge r y, if r e gu la r p a tie nt follow -u p is p os s ib le , ta p ing
e ye la s he s to
the e ye lid is a p a llia tiv e m e a s u r e tha t c a n he lp p r ote c t the c or ne a . In c e r ta in
c a s e s , this
m a y le a d to p e r m a ne nt c5or r e c tion of the tr ic hia s is w ithin a fe w
m onths .
The m e th od c ons is ts in s tic king the ingr ow ing e ye la s he s to the e xte r na l e ye lid
w ith
thin s tr ip of s tic king-p la s te r , m a king s u r e tha t the e ye lid c a n op e n a nd c los e
p e r fe c tly.
R e p la c e the p la s te r w he n it s ta r ts to p e e l off (u s u a lly onc e a w e e k);
c ontinu e tr e a tm e nt
for 3 m onths .
Note: e p ila t ion of in gr ow in g e ye la s h e s is n ot r e c om m e n d e d s in c e it offe r s
on ly
te m p or a r y r e lie f a nd r e gr ow ing e ye la s he s a r e m or e a b r a s iv e to the
c or ne a .
– S ta ge V : no tr e a tm e nt
Prevention
C le a ning of the e ye s , fa c e a nd ha nd s w ith c le a n w a te r r e d u c e s d ir e c t
tr a ns m is s ion a nd
the d e v e lop m e nt of s e c ond a r y b a c te r ia l infe c tions .
Treatment
– S ta ge s I a nd II:
•C le a n e ye s a nd fa c e s e v e r a l tim e s p e r d a y.
•A ntib iotic the r a p y:
The tr e a tm e nt of c hoic e is azithromycin P O :
C hild r e n ov e r 6 m onths or ov e r 6 kg: 2 0 m g/ kg a s a s ingle d os e
A d u lts : 1 g a s a s ingle d os e
F a iling the a b ov e , a p p ly 1% tetracycline eye ointment: 2 tim e s / d a y for 6 w e e ks
I n c hild r e n u nd e r 6 m onths or 6 kg: erythromycin P O (4 0 m g/ kg/ d a y in 2
d iv id e d
d os e s for 1 4 d a ys )
– S ta ge II I: no tr e a tm e nt
– S ta ge IV : s u r gic a l tr e a tm e nt
W hile w a iting for s u r ge r y, if r e gu la r p a tie nt follow -u p is p os s ib le , ta p ing
e ye la s he s to
the e ye lid is a p a llia tiv e m e a s u r e tha t c a n he lp p r ote c t the c or ne a . In c e r ta in
c a s e s , this
m a y le a d to p e r m a ne nt c5or r e c tion of the tr ic hia s is w ithin a fe w
m onths .
The m e th od c ons is ts in s tic king the ingr ow ing e ye la s he s to the e xte r na l e ye lid
w ith
thin s tr ip of s tic king-p la s te r , m a king s u r e tha t the e ye lid c a n op e n a nd c los e
p e r fe c tly.
R e p la c e the p la s te r w he n it s ta r ts to p e e l off (u s u a lly onc e a w e e k);
c ontinu e tr e a tm e nt
for 3 m onths .
Note: e p ila t ion of in gr ow in g e ye la s h e s is n ot r e c om m e n d e d s in c e it offe r s
on ly
te m p or a r y r e lie f a nd r e gr ow ing e ye la s he s a r e m or e a b r a s iv e to the
c or ne a .
– S ta ge V : no tr e a tm e nt
Prevention
C le a ning of the e ye s , fa c e a nd ha nd s w ith c le a n w a te r r e d u c e s d ir e c t
tr a ns m is s ion a nd
the d e v e lop m e nt of s e c ond a r y b a c te r ia l infe c tions .
