Trichiasis surgery for trachoma / World Health Organization ; S. Merbs, S. Resnikoff, A. Kello, S.P. Mariotti, G. Greene, S. West ; illustrations by T. Phelps, with some images by S. Bakayoko, E. Gower
Published
Geneva, Switzerland : World Health Organization, [2013]
Cover; Contents; Overview; Section One; 1. Introduction; 1.1 Objectives; 2. The Anatomy of the Eye and the Eyelid; 2.1 The eye (Fig. 1a); 2.2 The eyelid (Fig. 1b); 3. Trachoma and its Effect on the Eye; 3.1 Trachoma; 3.2 Inflammation; 3.3 Trichiasis; 3.4 Corneal scarring; 4. History and Examination for Upper Eyelid Trichiasis; 4.1 History: These questions indicate someone who may have a TT problem; 4.2 Examination of the eyelid; 4.3 Examination of the cornea; 4.4 Examination for defective eyelid closure; 5. Indications for Eyelid Surgery
5.1 Definite indications for eyelid surgery in the community are:5.2 Contraindications to performing surgery in the community; 6. Fitness of Patient for Surgery; 6.1 The patient must be questioned for general fitness.; 7. Facilities and Surgical Materials; 7.1 Facilities required; 7.2 Surgical materials; 8. Sterilization; 8.1 Principles of sterility; 8.2 Sterilization is defined as the destruction of all viruses, bacteria and spores.; 9. Preparation; 9.1 Preoperative patient preparation; 9.2 Applying the local anaesthetic drops
9.3 Sterile preparation of the surgeon's (and assistant's) hands and patient's skin10. Injecting Local Anaesthetic; 10.1 Keeping the lidocaine in the bottle sterile; 10.2 The injection; 11. Surgical Procedure; 11.1 Bilamellar Tarsal Rotation; 11.2 Trabut; 12. Postoperative Care; 13. Results; Section Two: For Trainers; 14. Introduction; 14.1 Objectives. The objectives of the section are as follows:; 14.2 Who Should Be Trained?; 14.3 Expected training; 15. Final Assessment of TT Surgeons; 15.1. Using this Section; 15.2. Qualifications for certification
15.3. Knowledge and procedures to be assessed15.4. Before surgery; 15.5. Sterilization of equipment before use; 15.6. Examination of the patient; 15.7. Preoperative preparation; 15.8. Injecting anaesthetic; 15.9. BLTR Operation; 15.10. Postoperative care; 15.11. Use of the checklist; 16. Checklist; APPENDIX I. Final Assessment: Cuenod Nataf; APPENDIX II. References
Summary
The updated version of this manual combines and updates material contained in three previous manuals on bilamellar tarsal rotation procedure trabut procedure and the final assessment of candidate trichiasis surgeons. This manual is designed to provide specific information for trachomatous trichiasis (TT) trainers who are training others to undertake surgery for entropion trachomatous trichiasis. Other approaches are not addressed. The manual is divided into two parts. The first part covers specifics designed for training TT surgeon candidates and serves as a resource document. The trainer can
Notes
"Update of Trichiasis surgery for trachoma, the bilamellar tarsal rotation procedure and Final assessment of trichiasis surgeons."
