The simplified trachoma grading system, amended
AuthorSolomon, AW; Kello, AB; Bangert, M; West, SK; Taylor, HR; Tekeraoi, R; Foster, A
Source TitleBulletin of the World Health Organization
PublisherWORLD HEALTH ORGANIZATION
University of Melbourne Author/sTaylor, Hugh
AffiliationMelbourne School of Population and Global Health
Document TypeJournal Article
CitationsSolomon, A. W., Kello, A. B., Bangert, M., West, S. K., Taylor, H. R., Tekeraoi, R. & Foster, A. (2020). The simplified trachoma grading system, amended. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 98 (10), pp.698-705. https://doi.org/10.2471/BLT.19.248708.
Access StatusOpen Access
A simplified grading system for trachoma was published by the World Health Organization (WHO) in 1987. Intended for use by non-specialist personnel working at community level, the system includes five signs, each of which can be present or absent in any eye: (i) trachomatous trichiasis; (ii) corneal opacity; (iii) trachomatous inflammation—follicular; (iv) trachomatous inflammation—intense; and (v) trachomatous scarring. Though neither perfectly sensitive nor perfectly specific for trachoma, these signs have been essential tools for identifying populations that need interventions to eliminate trachoma as a public health problem. In 2018, at WHO’s 4th global scientific meeting on trachoma, the definition of one of the signs, trachomatous trichiasis, was amended to exclude trichiasis that affects only the lower eyelid. This paper presents the amended system, updates its presentation, offers notes on its use and identifies areas of ongoing debate.
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