Predicting surgical compliance in a cohort of women with trichiasis.

Abstract:

:Trichiasis/Entropion are the severe consequences of chronic trachoma during early life. Blindness and vision loss is preventable with timely lid surgery to correct trichiasis. In a trachoma hyperendemic region of Central Tanzania, a two year follow-up survey was conducted among 205 women with trichiasis to determine the proportion who had had surgery and the barriers to having surgery. Only 18% of the women had undergone surgery by the 2 year follow-up. Those who had surgery tended to report more eye problems at baseline and have more corneal opacities at baseline. Barriers preventing women from going to surgery were costs, problem of children left at home alone, and difficulties in identifying someone to accompany them to the health center. Over 2/3 of those who had surgery reported a significant decrease in pain, improvement of vision, and improved ability to carry out activities of daily life. Ways to improve compliance with recommendations for trichiasis surgery need to be developed.

journal_name

Int Ophthalmol

authors

West S,Lynch M,Munoz B,Katala S,Tobin S,Mmbaga BB

doi

10.1007/BF00919249

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

105-9

issue

2

eissn

0165-5701

issn

1573-2630

journal_volume

18

pub_type

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