The Association Between the Severity of Trachomatous Scarring and Trachomatous Trichiasis Severity in Surgical Patients in Tanzania.

The Association Between the Severity of Trachomatous Scarring and Trachomatous Trichiasis Severity in Surgical Patients in Tanzania.
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坦桑尼亚手术患者沙眼疤痕严重程度与沙眼倒睫严重程度之间的关联。

DOI:
10.1080/09286586.2023.2238090
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发表时间:
2023
影响因子:
1.8
通讯作者:
West,SheilaK
West,SheilaK
中科院分区:
医学4区
文献类型:
--
作者:
Wolle,MerafA;Misra,Neha;Naufal,Fahd;SahebKashaf,Michael;Munoz,BeatrizE;Mkocha,Harran;Funga,Nicodemus;West,SheilaK

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PurposeTo确定沙眼结膜瘢痕(TS)的上眼睑结膜和沙眼倒睫(TT)严重程度在TT surgical patients.MethodsA横断面研究之间的关联性进行了成人TT谁被称为手术营地在巴希区,坦桑尼亚,TT手术。参与者接受了眼部检查。TS的存在和严重程度进行了评价外翻上眼睑的照片。在眼部检查时,根据接触地球仪的睫毛数量和/或脱毛的证据和程度评估TT严重程度。有序逻辑模型被用来检查TS和TT severity.ResultsA共627眼的388名参与者的严重程度之间的关联。平均年龄为65岁(范围为21-98岁),81%为女性,62%患有双侧TT。93%患有任何TT的患眼至少有中度TS; 62%患眼有重度TS。TS严重程度的增加与TT严重程度的增加相关。使用无至轻度TS的眼睛作为参考,中度TS的眼睛中TT严重程度增加的几率为1.30(95%CI 0.67-2.51),在重度TS眼中,比值为4.20(95%CI 2.23-7.92)。结论在沙眼性倒睫手术病例中,TT的严重程度与TS的严重程度显著相关,几乎所有TT病例都有中度或重度瘢痕形成。
PurposeTo determine the association between the severity of trachomatous conjunctival scarring (TS) of the upper eyelid conjunctiva and trachomatous trichiasis (TT) severity in TT surgical patients.MethodsA cross-sectional study was conducted amongst adults with TT who were referred to surgical camps in Bahi District, Tanzania, for TT surgery. Participants underwent ocular examination. The presence and severity of TS was evaluated in photographs of the everted upper eyelid. TT severity was assessed at the time of the ocular exam based on the number of lashes touching the globe and/or evidence and extent of epilation. Ordinal logistic models were used to examine the association between the severity of TS and TT severity.ResultsA total of 627 eyes of 388 participants were included. Mean age was 65 years (ranging from 21–98), 81% were females, and 62% had bilateral TT. 93% of eyes with any TT had at least moderate TS; 62% of eyes had severe TS. An increase in TS severity was associated with an increase in the severity of TT. Using as a reference eyes with none to mild TS, in eyes with moderate TS the odds of increased severity of TT was 1.30 (95% CI 0.67–2.51), in eyes with severe TS the odds was 4.20 (95% CI 2.23–7.92).ConclusionIn cases of trachomatous trichiasis presenting for surgery, the severity of TT was significantly associated with the severity of TS with almost all cases of TT having moderate or severe scarring.
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