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7 Treatment

The treatment used to rely on the administration of tetracycline eye ointment or taking doxycycline 100 mg bid for 4 weeks (erythromycin for children). Currently the treatment of choice is a single administration of azithromycin (Zitromax®), which greatly simplifies treatment. Azithromycin is best taken on an empty stomach. Deformities of the eyelid, such as entropion or trichiasis have to be treated surgically. Reinfection can occur and further treatment forms part of a control programme. Inclusion conjunctivitis, a sexually transmitted disease, has to be treated in the child and the mother as well as her sexual partners. It is important to make people aware of the fact that removing eyelashes which face inwards may bring some temporary relief, but that it can make the situation worse. The eyelashes grow back and the short stubbly hairs scratch the cornea resulting in still more damage.