Thylefors B
Rev Infect Dis. 1985 Nov-Dec;7(6):774-6. doi: 10.1093/clinids/7.6.774.
Trachoma, one of the commonest eye diseases in developing countries, is associated with adverse living conditions and low socioeconomic status. The control of trachoma as a blinding disease has been the target of many national campaigns. The strategy of such campaigns has usually been based on intermittent topical treatment on a mass or selective basis, together with services for trichiasis surgery and health education. National campaigns against trachoma have often been successful on a short-term basis but have not always achieved their long-term goals. Sustained efforts are needed to maintain trachoma control, an area of endeavor that lends itself well to integration with general health services, particularly on a primary health care basis. In addition to logistic aspects, treatment compliance and behavioral patterns related to living conditions must be considered in the design of trachoma control programs.
沙眼是发展中国家最常见的眼部疾病之一，与恶劣的生活条件和较低的社会经济地位相关。将沙眼作为致盲性疾病加以控制一直是许多国家防治运动的目标。此类运动的策略通常基于大规模或选择性的间歇性局部治疗，以及倒睫手术服务和健康教育。各国防治沙眼的运动往往在短期内取得成功，但并非总能实现其长期目标。需要持续努力来维持对沙眼的控制，这一工作领域很适合与一般卫生服务相结合，特别是在初级卫生保健基础上。除了后勤方面，在设计沙眼控制项目时还必须考虑治疗依从性以及与生活条件相关的行为模式。
