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How does trachoma lead to blindness? When a person's eyes are infected with the bacteria that causes trachoma, the inner upper eyelid often becomes inflamed. Many active cases are mild and get better in a few weeks or months. Sometimes the infected person's body responds with a severe inflammatory reaction in which the eyes may become painful, a white watery discharge may be present, and sunlight can be unbearable.
As the rubbing of the lashes scratches the globe of the eye, also known as the cornea, other infections develop. The combination of scratching and infection finally turns the cornea opaque, and vision is lost. Blindness or near blindness due to trachoma and trichiasis can only be restored by corneal transplant, which is nearly impossible to receive in developing nations. Fortunately, there are solutions for those affected by trachoma. Surgery can reverse the in-turning of the lashes and sometimes prevent blindness, and antibiotics can be used to treat active trachoma. Additionally, incorporation of good hygiene practices and environmental improvements can greatly reduce the transmission of the disease.
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