Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin
The objective of the present study was to describe, for the first time in Brazil, the use by a non-ophthalmologist of a community-based marginal rotation procedure by a posterior approach in the indigenous population from the Upper Rio Negro basin. Seventy-three upper eyelids of 46 Indians (11 males...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2004-05-01
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| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000500007 |
| _version_ | 1819156648364605440 |
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| author | O.E. Soares A.A.V. Cruz |
| author_facet | O.E. Soares A.A.V. Cruz |
| author_sort | O.E. Soares |
| collection | DOAJ |
| description | The objective of the present study was to describe, for the first time in Brazil, the use by a non-ophthalmologist of a community-based marginal rotation procedure by a posterior approach in the indigenous population from the Upper Rio Negro basin. Seventy-three upper eyelids of 46 Indians (11 males and 35 females) with cicatricial upper eyelid entropion and trichiasis were operated in the Indian communities using a marginal rotational procedure by a posterior approach by a non-ophthalmologist physician who had general surgery experience but only an extremely short period (one week) of ophthalmic training. Subjects were reevaluated 6 months after surgery. Results were classified according to the presence and location of residual trichiasis and symptoms were assessed according to a three-level subjective scale (better, worse or no change). Fifty-six eyelids (76.7%) were free from trichiasis, whereas residual trichiasis was observed in 17 eyelids (23.3%) of 10 subjects. In these cases, trichiasis was either lateral or medial to the central portion of the lid. Of these 10 patients, only 4 reported that the surgery did not improve the irritative symptoms. We conclude that marginal rotation by a posterior approach is an effective and simple procedure with few complications, even when performed by non-specialists. Due to its simplicity the posterior approach is an excellent option for community-based upper eyelid entropion surgery. |
| first_indexed | 2024-12-22T15:56:13Z |
| format | Article |
| id | doaj.art-03841eb8740c4766ae4aa912ca27f842 |
| institution | Directory Open Access Journal |
| issn | 0100-879X 1414-431X |
| language | English |
| last_indexed | 2024-12-22T15:56:13Z |
| publishDate | 2004-05-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-03841eb8740c4766ae4aa912ca27f8422022-12-21T18:20:47ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2004-05-0137566967410.1590/S0100-879X2004000500007Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basinO.E. SoaresA.A.V. CruzThe objective of the present study was to describe, for the first time in Brazil, the use by a non-ophthalmologist of a community-based marginal rotation procedure by a posterior approach in the indigenous population from the Upper Rio Negro basin. Seventy-three upper eyelids of 46 Indians (11 males and 35 females) with cicatricial upper eyelid entropion and trichiasis were operated in the Indian communities using a marginal rotational procedure by a posterior approach by a non-ophthalmologist physician who had general surgery experience but only an extremely short period (one week) of ophthalmic training. Subjects were reevaluated 6 months after surgery. Results were classified according to the presence and location of residual trichiasis and symptoms were assessed according to a three-level subjective scale (better, worse or no change). Fifty-six eyelids (76.7%) were free from trichiasis, whereas residual trichiasis was observed in 17 eyelids (23.3%) of 10 subjects. In these cases, trichiasis was either lateral or medial to the central portion of the lid. Of these 10 patients, only 4 reported that the surgery did not improve the irritative symptoms. We conclude that marginal rotation by a posterior approach is an effective and simple procedure with few complications, even when performed by non-specialists. Due to its simplicity the posterior approach is an excellent option for community-based upper eyelid entropion surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000500007TrachomaCommunity-based surgeryMarginal rotationTrichiasisEntropion |
| spellingShingle | O.E. Soares A.A.V. Cruz Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin Brazilian Journal of Medical and Biological Research Trachoma Community-based surgery Marginal rotation Trichiasis Entropion |
| title | Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin |
| title_full | Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin |
| title_fullStr | Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin |
| title_full_unstemmed | Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin |
| title_short | Community-based transconjunctival marginal rotation for cicatricial trachoma in Indians from the Upper Rio Negro basin |
| title_sort | community based transconjunctival marginal rotation for cicatricial trachoma in indians from the upper rio negro basin |
| topic | Trachoma Community-based surgery Marginal rotation Trichiasis Entropion |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2004000500007 |
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