Among ocular infections, trachoma is the main cause of blindness. Repeated conjunctival Chlamydia trachomatis infections lead to trichiasis, corneal opacification and visual impairment.

The discomfort of trichiasis can be relieved and residual vision protected (or even sometimes slightly improved) with one of two well-established procedures: bi-lamellar tarsal rotation (BLTR) or Trabut’s tarsotomy [1]. A high recurrence rate is observed with either procedure. This is probably in part due to the progression of eyelid scarring, which surgery does nothing to ameliorate and may, in fact, augment. Inappropriate or insufficient surgery may also contribute [2, 3]. Published literature on the management of postoperative trachomatous trichiasis (PTT) is sparse.

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