Trachoma

Adults over the age of 40 years who live in a trachoma-endemic area should be assessed for scarring of the upper tarsal conjunctiva. If this sign is present they should be regularly assessed for the development of trichiasis. The timeframe of reviews will depend on resources and the severity of trachoma in that region.

Patients who have had surgery for trichiasis are at continued risk of recurrence and must be followed up on an annual basis.

People with severe tarsal scarring should be monitored every 1 to 2 years for the development of trichiasis.