Characteristics and perspectives of patients with postoperative trichiasis in Hadiya Zone, Ethiopia.

Characteristics and perspectives of patients with postoperative trichiasis in Hadiya Zone, Ethiopia.
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DOI:
10.1093/inthealth/ihac004
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发表时间:
2022-04-06
影响因子:
2.5
通讯作者:
Gower EW
Gower EW
中科院分区:
医学3区
文献类型:
--
作者:
Shrestha R;Merbs SL;Bayissasse B;Sisay A;Beckwith C;Courtright P;Gower EW

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术后沙眼倒睫(PTT)是倒睫手术方案的一个挑战。关于 PTT 患者对结果和未来疾病管理的看法知之甚少。本研究旨在了解 PTT 患者的特征、他们如何处理倒睫以及他们对先前手术和未来手术的看法。在埃塞俄比亚哈迪亚地区现有的倒睫筛查项目中发现了 PTT 患者。进行视力评估和眼睑评估,以确定远视力、倒睫和眼睑轮廓异常的存在和严重程度。通过问卷调查来获取有关患者对手术和 PTT 管理方法的看法的信息。使用描述性统计来描述 PTT 的特征并确定 PTT 严重程度与患者感知之间的关联。在 404 名参与者中,大多数是女性(79.7%),年龄在 40-60 岁(62.6%)。总共有 514 个眼睑出现 PTT,其中近一半患有严重 PTT(46.9%)。尽管超过 50% 的参与者目前正在脱毛以控制 PTT,但大多数 (82.8%) 表示他们希望重复手术。大多数参与者表示,尽管脱毛,疼痛仍然持续。大多数人 (75.1%) 表示对之前的手术感到满意,59.6% 表示他们会向其他人推荐手术。这项研究包括很大一部分严重 PTT 病例,表明个体对之前的手术普遍满意,并且更愿意再次进行手术以进行 PTT 管理。
Postoperative trachomatous trichiasis (PTT) is a challenge for trichiasis surgery programs. Little is known about PTT patients’ perceptions regarding outcomes and future disease management. This study aimed to understand the characteristics of PTT patients, how they managed trichiasis and their perceptions of prior surgeries and future surgery uptake. Patients with PTT were identified during an existing trichiasis screening program in Hadiya Zone, Ethiopia. A vision assessment and evaluation of the eyelids were conducted to determine distance vision, presence and severity of trichiasis and eyelid contour abnormalities. A questionnaire was administered to obtain information regarding patients’ perceptions of surgery and PTT management approaches. Descriptive statistics were used to characterize PTT and determine associations between PTT severity and patient perceptions. Among 404 participants, most were female (79.7%) and aged 40–60 y (62.6%). In total, 514 eyelids had PTT, and nearly half had severe PTT (46.9%). Although >50% of participants were currently epilating to manage their PTT, the majority (82.8%) indicated that they wanted repeat surgery. Most participants indicated that pain persisted despite epilation. The majority (75.1%) indicated satisfaction with their prior surgery and 59.6% indicated that they would recommend surgery to others. This study, which included a large proportion of severe PTT cases, indicated that individuals were generally satisfied with prior surgery and would prefer to have surgery again for PTT management.
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