How is trachomatous concretions treated?
Mar 05, 2022
Source: Cainiu Health
Dr. Cui Xin
Introduction
If trachoma is present, conjunctival concretions (conjunctival stones) commonly develop. In such cases, it is advisable to consult a healthcare professional at a hospital to determine whether removal is necessary. If the concretions are clearly protruding from the conjunctival surface, they can be removed using a 1-mL syringe needle. However, if the concretions remain buried beneath the conjunctival surface and are not visibly protruding, no intervention is typically required.
Before trachoma symptoms are treated, *Chlamydia trachomatis* repeatedly irritates and infects the tarsal conjunctiva, causing small, sand-like granules to form on the conjunctival surface. This leads to a pronounced sensation of foreign bodies within the eye. So, how is trachomatous concretions (trachoma stones) treated? Below, we address this question.
How Are Trachomatous Concretions Treated?
It is well known that trachoma predisposes individuals to conjunctival concretions. In such cases, it is advisable to consult an ophthalmologist to determine whether manual removal is necessary. If the concretions are clearly protruding above the conjunctival surface, they can be carefully excised using a 1-mL syringe needle. However, if the concretions remain embedded beneath the conjunctival surface without protrusion, no intervention is typically required. Regular eyelid massage—particularly meibomian gland massage—is recommended to promote glandular patency and facilitate the secretion of lipids and other glandular products, thereby helping prevent concretion formation.
Following concretion formation, patients commonly experience foreign-body sensation and associated irritation. Therefore, prompt treatment of trachoma is essential to prevent complications. Besides conjunctival concretions, untreated trachoma may lead to cicatricial entropion or corneal pannus (vascular翳).
The above outlines the management of trachomatous concretions. We hope this information is helpful to you.
