Repeat Surgery for Patients With Post-operative Trachomatous Trichiasis Trial

Repeat Surgery for Patients With Post-operative Trachomatous Trichiasis Trial

The objective of this study is to determine if there is a significant difference in post-operative trichiasis at 12 months comparing a new procedure, the Bevel/rotate/advance procedure (BRAP), to the Trabut procedure among repeat surgery patients.

The investigators will randomize participants with previously operated trichiasis on a 1:1 basis to receive either the Bevel/rotate/advance procedure (BRAP) or the Trabut procedure. The participants will be followed at 1 day, 2 weeks, 3-6 months, and then 12 months following the surgery. The primary study endpoint is recurrence of post-operative trichiasis within 12 months of surgery. The investigators will conduct logistic regression analysis comparing post-operative trichiasis recurrent rates in participants receiving BRAP versus participants receiving Trabut. Adjusted analyses will account for demographic characteristics as well as trichiasis severity prior to surgery.

Inclusion Criteria:

• Aged 18 or older
• At least one eyelid with post-operative upper eyelid trichiasis
• Willing to comply with all study procedures and be available for the duration of the study

Exclusion Criteria:

• Inability to provide independent, informed consent