Symptoms And Progression Of Trachoma

Progression Of Inflammation

The inflammation that occurs with trachoma is divided into stages. In the first stage, known as follicular inflammation, an eye specialist will see at least five follicles on examination with magnification. Follicles are tiny bumps that contain white blood cells, and they will be visible on the conjunctiva, the inner surface of the eyelid. As the inflammation continues to the second stage, intense inflammation will be observed. The upper eyelid will be thicker than normal, and swelling will also be present. If the patient has had trachoma for a long time, the inflammation may produce scars on the inside of the upper eyelid. These scars typically appear as white lines when viewed under magnification. As inflammation progresses, the inner part of the eyelid becomes deformed, and both the eyelid and the upper lashes could turn inward, a condition known as entropion.

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