Question

A 4-year-old Aboriginal girl from a remote community presents with bilateral tarsal follicles, conjunctival scarring and in-turned eyelashes rubbing on the cornea. Several family members are similarly affected. What is the most appropriate public health-oriented management approach?

Accepted Answer

Implement the SAFE strategy including surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement

Answer

Treat only this child with topical antibiotics

Answer

Advise that this is a benign condition needing no treatment

Answer

Prescribe long-term topical steroids

Answer

Arrange individual corneal transplantation

Practice question

A 4-year-old Aboriginal girl from a remote community presents with bilateral tarsal follicles, conjunctival scarring and in-turned eyelashes rubbing on the cornea. Several family members are similarly affected. What is the most appropriate public health-oriented management approach?