The clinical signs of trachoma. A: Active trachoma with both follicles and intense inflammation. B: Trachomatous conjunctival scarring. C: Entropion trichiasis and corneal opacity. D: Phthisis. E: Misdirected lashes. F: Metaplastic lashes. Trachomatous trichiasis and its management in endemic countries.
Rajak SN, Collin JR, Burton MJ - Survey of ophthalmology (2012). Not Altered. CC.
Conjunctival scarring is cicatricial condition of the conjunctiva associated with the tissue shrinkage and mostly with distortion of fornices and the lid. Conjunctival scarring can be due to chlamydia trachomatis infection, chemicals like alkalis, cicatricial pemphigoid, and tear deficiency like Sjogren’s syndrome.