Clinical Manifestations of Trachoma

Clinical manifestations were divided into 4 stages:

1. Stage I; called insipien stage or beginning stage, it is found mainly in the follicles superior tarsal conjunctiva, the conjunctiva inferior tarsal follicles also present, but this is not a typical symptom of trachoma. Of the cornea in the superior limbus are pungtata epithelial and subepithelial keratitis. Corneal abnormalities clearer when examined by testing fluoresin, which will see the green dots on the corneal defect.

2. Stage II; called established or real stage, the follicles found in the superior tarsal conjunctiva, multiple mature follicles are colored gray. In addition to corneal superficial keratitis pungtata, also seen the neovascularization, the new blood vessels that run from the corneal limbus towards the top. Structure pungtata superficial keratitis and neovascularization is known as pannus.

3. Stage III; called scar stage, begins the formation of the follicle sikatriks superior tarsal conjunctiva visible as fine white lines. Corneal pannus more real. Not uncommon at this stage is seen as a disease trikiasis. At this stage still found superior tarsal conjunctiva follicles on.

4. Stage IV; called healing stage. At this stage, the follicles on the tarsal conjunctiva is no longer superior, only sikatriks. In the upper corneal pannus no longer active. At this stage encountered complications such as entropion sikatrisiale, the curved edge of the upper eyelid caused sikatriks into the tarsus. Along with enteropion, located eyelashes rub the eyeball into the curved (trikiasis). Lashes so can cause damage to the cornea, which are susceptible to secondary infections, corneal ulcers that may occur. If the patient does not seek treatment, corneal ulcers may be deep and eventually arise perforation.