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A METHOD FOR THE CORRECTION OF ENTROPION IN TRACHOMATOUS PATIENTS: WITH PARTICULAR ATTENTION TO THE ESTHETIC RESULTS

A METHOD FOR THE CORRECTION OF ENTROPION IN TRACHOMATOUS PATIENTS: WITH PARTICULAR ATTENTION TO... Abstract For several years I have paid particular attention to the complications of trachoma, a disease that, according to statistics compiled by me, causes about 14 per cent of the ocular disorders in Brazil. Besides studying the problems of a more or less theoretical value relating to this disease, I have paid attention to its therapy. As a result of my studies in this field I can now state that, with an opportune combination of remedies in association with technical methods which will be discussed in more detail in following articles, 1 have succeeded in obtaining the clinical cure of trachoma in all my patients. I use the term clinical cure because I am under the impression that the disease, at least in some cases, remains in a latent stage, even though a careful objective examination and a study of tissue removed for biopsy prove that the process is References 1. Owing to the fact that I have observed a flare-up of the trachomatous process in two cases of traumatic ulcer due to a foreign body, I am led to believe that in cases of trachoma in which the condition was clinically cured the infection may remain latent. In one case this took place eight months after the patient had left my clinic. In the other case the flare-up occurred twenty-six months after the patient had left the clinic. In this period of time neither patient had a recurrence. The recurrence was limited to the traumatized eye. It was severe in the second patient, who had come the first time with trachoma in the second stage, with large nodules in the bulbar conjunctiva of both eyes and with pannus in the superior half of the cornea of the right eye and extending over the whole surface of the cornea of the left eye. The trauma caused a small ulceration in the internal quadrant of the cornea about 3 mm. from the limbus. The ulcer became infected, and in a few days characteristic trachomatous pannus developed, with involvement of the conjunctiva. A few parenchymatous blood vessels appeared in the cornea. In spite of the treatment complete pannus formed in the cornea six days following the trauma. Three months were required for cure. The patient has had no recurrence within the last three years. In the first case the recurrence was of less duration and less severe ; healing was obtained in two months. 2. Busacca, A.: Die trachomatöse avaskuläre Keratitis , Klin. Monatsbl. f. Augenh. 94:202, 1935; 3. Die Entfernung des Tarsalteiles des Orbikularmuskels des Oberlids zwecks Bekämpfung des Entropiums und der Trichiasis zur Verhinderung von Rückfällen des trachomatösen Prozesses , Ztschr. f. Augenh. 88:100, 1936. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

A METHOD FOR THE CORRECTION OF ENTROPION IN TRACHOMATOUS PATIENTS: WITH PARTICULAR ATTENTION TO THE ESTHETIC RESULTS

BUSACCA, ARCHIMEDE
Archives of Ophthalmology , Volume 16 (5) – Nov 1, 1936
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1936.00840230102007
Publisher site
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Abstract

Abstract For several years I have paid particular attention to the complications of trachoma, a disease that, according to statistics compiled by me, causes about 14 per cent of the ocular disorders in Brazil. Besides studying the problems of a more or less theoretical value relating to this disease, I have paid attention to its therapy. As a result of my studies in this field I can now state that, with an opportune combination of remedies in association with technical methods which will be discussed in more detail in following articles, 1 have succeeded in obtaining the clinical cure of trachoma in all my patients. I use the term clinical cure because I am under the impression that the disease, at least in some cases, remains in a latent stage, even though a careful objective examination and a study of tissue removed for biopsy prove that the process is References 1. Owing to the fact that I have observed a flare-up of the trachomatous process in two cases of traumatic ulcer due to a foreign body, I am led to believe that in cases of trachoma in which the condition was clinically cured the infection may remain latent. In one case this took place eight months after the patient had left my clinic. In the other case the flare-up occurred twenty-six months after the patient had left the clinic. In this period of time neither patient had a recurrence. The recurrence was limited to the traumatized eye. It was severe in the second patient, who had come the first time with trachoma in the second stage, with large nodules in the bulbar conjunctiva of both eyes and with pannus in the superior half of the cornea of the right eye and extending over the whole surface of the cornea of the left eye. The trauma caused a small ulceration in the internal quadrant of the cornea about 3 mm. from the limbus. The ulcer became infected, and in a few days characteristic trachomatous pannus developed, with involvement of the conjunctiva. A few parenchymatous blood vessels appeared in the cornea. In spite of the treatment complete pannus formed in the cornea six days following the trauma. Three months were required for cure. The patient has had no recurrence within the last three years. In the first case the recurrence was of less duration and less severe ; healing was obtained in two months. 2. Busacca, A.: Die trachomatöse avaskuläre Keratitis , Klin. Monatsbl. f. Augenh. 94:202, 1935; 3. Die Entfernung des Tarsalteiles des Orbikularmuskels des Oberlids zwecks Bekämpfung des Entropiums und der Trichiasis zur Verhinderung von Rückfällen des trachomatösen Prozesses , Ztschr. f. Augenh. 88:100, 1936.

Journal

Archives of Ophthalmology – American Medical Association

Published: Nov 1, 1936

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