Conjunctivitis due to chlamydia trachomatis - Trachoma

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Chlamydia trachomatis bacterial infection that affects the eye's conjunctiva and eyelids. It is more common in rural areas of developing countries.

It is contracted due to contact with a contaminated surface (clothes, hands, etc.) or due to a prolonged nose and throat infection. In endemic areas is important to wash one's hands and face thoroughly to avoid its transmission.

Its manifestations are a red, inflamed eye with abundant tearing.

Diagnosis is reached clinically through the patient's questioning and an examination of the eye. A culture of the secretions ensures the diagnosis.

It should be treated early with antibiotics to avoid severe complications that may require surgery.

Bibliographic references
  1. Jeanne Marrazzo. Clinical manifestations and diagnosis of Chlamydia trachomatis infections. UpToDate. Nov 05, 2015.
  2. Heathcote R Wright, Hugh R Taylor, Emily O'Kearney. Overview of trachoma. UpToDate. Oct 27, 2016.
  3. Global Atlas of Trachoma. Trachoma Atlas. Georgia, 2016. http://www.trachomaatlas.org/ Last access Dec 9, 2016.
  4. Negrel AD, Taylor HR, West S. Guidelines for the rapid assessment for blinding trachoma. World Health Organization and International Trachoma Initiative, Geneva 2001. http://www.who.int/blindness/TRA-ENGLISH.pdf
  5. Ejere HO, Alhassan MB, Rabiu M. Face washing promotion for preventing active trachoma. Cochrane Database Syst Rev 2015; :CD003659.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Swollen lymph node in the anterior part of the ear


    Slight eye watering


    Corneal vascular network


    Cornea is not very transparent


    Redness in only one eye

Symptoms to watch out for

Symptom persistence for more than two weeks after the initial treatment
Loss of vision
History of immunodeficiency (HIV, diabetes mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Avoid rubbing the eyes.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Discontinue the use of contact lenses.
Use artificial or antihistaminic drops for the eyes.
Check with your general practitioner about the prescription for antibiotics.