A nurse is caring for a client diagnosed with trachoma. When providing client education regarding this condition, the nurse will include which statements?
Select all that apply.
A) "This condition is caused by Chlamydia trachomatis."
B) "It is common in the United States."
C) "It is the primary cause of preventable blindness worldwide."
D) "Early symptoms include inflammation of the cornea."
E) "The causative organism is usually Staphylococcus aureus."
Answer: A, C
Early manifestations of trachoma include redness, eyelid edema, tearing, and photophobia. Small conjunctival follicles develop on the upper lids. The inflammation also causes superficial corneal vascularization and infiltration with granulation tissue. Scarring of the conjunctival lining of the lid causes entropion (inversion of the eyelid). The lashes then abrade the cornea, eventually causing ulceration and scarring. The opacity of the scarred cornea results in loss of vision. This condition is caused by Chlamydia trachomatis, and is endemic in poor, undeveloped countries, especially where there are water shortages, numerous flies, and crowded living conditions. Trachoma is rarely seen in the United States except in Native Americans who live in the Southwest.
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