Baseline Predictors for the Postoperative Trachomatous Trichiasis Following Lid Rotation Surgery in the…

Randomized trialOphthalmic epidemiology· Aug 2026

Baseline Predictors for the Postoperative Trachomatous Trichiasis Following Lid Rotation Surgery in the FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial.

Ha-Neul Yu, Fangming Jin, Aida Abashawl … FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial Research Group

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Community Eye HealthRandomized trialPrognosisQ1IF 1.9

About 13% of eyelids had trachomatous trichiasis recur within a year after surgery.

Baseline Predictors for the Postoperative Trachomatous Trichiasis Following Lid Rotation Surgery in the FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial.

Ha-Neul Yu … FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial Research Group

Ophthalmic epidemiology · Aug 2026 · Q1 in Ophthalmology

Purpose

To evaluate predictive factors for postoperative trachomatoustrichiasis (postoperative trachomatoustrichiasis) following trachomatous trichiasis (trachomatous trichiasis) surgery in an atrachoma-endemic setting.

Methods

Secondary analysis of the FLuorometholone as Adjunctive MEdicaltherapy for trachomatous trichiasis surgery (FLAME) trial for comparing fluorometholone 0.1% vs placebo as adjunctive therapy for trachomatous trichiasis surgery.

n = 2398 participants

Results

more checks and worse eye symptoms before surgery raised the risk of lashes coming back

AUC 0.74 (95% CI 0.72 to 0.77)

CI excludes the null - significant

More results

These predictors and surgeons predicted postoperative trachomatoustrichiasis with an area under the curve of 0.74 (95% confidence interval: 0.72 to 0.77).

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Conclusion · 1 of 2

Several baseline demographic and ocular characteristics indicating trachomatous trichiasis severity are predictive of postoperative trachomatoustrichiasis.

Conclusion · 2 of 2

Using these findings to identify high-risk individuals can inform clinical decision-making/patientcounselling.

Baseline Predictors for the Postoperative Trachomatous Trichiasis Following Lid Rotation Surgery in the FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial.

Baseline Predictors for the Postoperative Trachomatous Trichiasis Following Lid Rotation Surgery in the FLuorometholone as Adjunctive MEdical Therapy for Trachomatous Trichiasis Surgery (FLAME) Trial.

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