Oman Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2009  |  Volume : 2  |  Issue : 3  |  Page : 119--125

The determinants of trichiasis recurrence differ at one and two years following lid surgery in Vietnam: A community-based intervention study


Rajiv Khandekar1, Ton Tin K Thanh2, Vu Quoc Luong2 
1 British Columbia Center for Epidemiologic and International Ophthalmology, University of British Columbia, Canada
2 National Institute of Ophthalmology, Ministry of Health, Hanoi, Vietnam

Correspondence Address:
Rajiv Khandekar
Ministry of Health, P.O.B: 393, 113, Muscat, Oman

Aim : To compare determinants for recurrence of trichiasis at one and two years following lid surgery in Vietnam. Study Design : Community-based intervention study. Methods : This study was carried out between 2000 and 2003 in four trachoma-endemic districts of Vietnam. Trained trichiasis surgeons performed modified Cuenod Nataf lid surgery on 648 eyes of 472 patients with Trachomatous trichiasis (TT). Trained investigators collected information on ocular and lid status before surgery and at one and two years following surgery. Trichiasis recurrence was calculated after adjusting for one or both eyes of each operated individual. Results : Fifty-six eyes developed recurrence at one year with adjusted prevalence of 8.8% (95% CI 6.60-11.01). One hundred and one eyes [15.9% (95% CI 13.04-18.72)] had recurrence two years following surgery. Female gender, older age group, study area, severe grade of trachomatous scarring (TS), past history of lid surgery, postoperative suture adjustment and surgeon were risk factors for recurrence at the end of one year. Study area and previous lid surgery were risk factors for recurrence in the second year. Recurrence at one year could be predicted if study area and severity of Trachomatous Scarring (TS) are known. Conclusions : One and two year recurrence rates with modified Cuenod Nataf lid surgeries for TT in Vietnam were acceptably low. Early recurrence could be reduced by proper case selection. However, late recurrence seems to be dependent on interaction of risk factors. Only age of the patient was the reliable predictor of recurrence.


How to cite this article:
Khandekar R, Thanh TK, Luong VQ. The determinants of trichiasis recurrence differ at one and two years following lid surgery in Vietnam: A community-based intervention study.Oman J Ophthalmol 2009;2:119-125


How to cite this URL:
Khandekar R, Thanh TK, Luong VQ. The determinants of trichiasis recurrence differ at one and two years following lid surgery in Vietnam: A community-based intervention study. Oman J Ophthalmol [serial online] 2009 [cited 2020 Aug 14 ];2:119-125
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2009;volume=2;issue=3;spage=119;epage=125;aulast=Khandekar;type=0