Eye Diseases Surgery Trachoma, Trichiasis
Conditions
Interventions
Bilamellar Tarsal Rotation Surgery (BLTR)
Posterior Lamellar Tarsal Rotation Surgery (PLTR)
Sponsors
London School of Hygiene and Tropical Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Case Definition: Trachomatous Trichiasis cases in this study will be defined as: individuals with one or more eyelashes touching the eyeball or with evidence of epilation in either or both of the eyes, and tarsal conjunctival scarring. Inclusion criteria: 1. Trachomatous Trichiasis with tarsal conjunctival scarring 2. Adults (¿18 years) 3. Agree to be randomly allocated to one of the two alternative operative procedures 4. Agree to re-examination at six and twelve months after surgery
Exclusion criteria
Exclusion criteria: Exclusion Criteria: 1. Age less than 18 years 2. Previous eyelid surgery 3. Medically unfit, BP systolic >170, diastolic >110. 4. Pregnant 5. Patients with trichiasis from other eyelid pathologies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure: recurrent trichiasis, defined as one or more lashes touching the eye or clinical evidence of epilation at either the six or twelve month assessments or a history of repeat surgery during the last one year after the baseline surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures: (1) Severity of recurrent trichiasis (number of lashes) and entropion, (2) Change in corneal opacification (by comparison of photographs), (3) Change in visual acuity (LogMAR), (4) Conjunctival inflammation, (5) Complication rates | — |
Countries
Ethiopia
Contacts
Public ContactMatthew Burton
Senior Lecturer
Outcome results
None listed