Trachoma WHO grade: trachomatous inflammation - intense (TI)

WHO grade: trachomatous inflammation - intense (TI) This is the upper tarsal conjunctiva of a patient with TI. There is inflammatory thickening of the upper tarsal conjunctiva. All deep tarsal vessels are obscured, and the tarsal conjunctiva is red and rough. There are no follicles visible. This stage is highly infectious. The pale streaks running across the eyelid are probably exudate. The white dots are camera flash reflections and should be ignored. Note: WHO = World Health Organization.