title: Sequelae from Epidemic Viral Conjunctivitis Can Be Associated with Inflammatory Trachoma in Schoolchildren?
abstract: OBJECTIVE
  To evaluate the sequelae due to epidemic viral conjunctivitis (VC) for a possible association with inflammatory trachoma in schoolchildren.
  
  
  METHODS
  A cross-sectional survey was performed of 2,093 schoolchildren in public schools in Sao Paulo State, Brazil. The exams were conducted according to the WHO definitions to detect trachoma. We evaluated the prevalence and the association between inflammatory trachoma and sequelae due to VC.
  
  
  RESULTS
  The prevalence of inflammatory trachoma in schoolchildren in Botucatu City was 2.9% (CI: 1.2-17.3%). The prevalence of sequelae from VC was 0.007% (CI: 0 to 0.033%). Acute bacterial conjunctivitis was detected in 0.001%. There was no association between inflammatory trachoma and VC-related sequelae or acute bacterial conjunctivitis.
  
  
  CONCLUSIONS
  An outbreak of epidemic VC can lead to definitive sequelae in the tarsal conjunctiva. The sequelae from VC were detected in 0.007% of the schoolchildren and were not associated with inflammatory trachoma.
authors.affiliation: a Faculdade de Medicina de Botucatu , Universidade Estadual Paulista , Botucatu , São Paulo State , Brazil.
authors.forename: Roberta Lilian Fernandes
authors.initials: RLF
authors.lastname: de Sousa Meneghim
authors.affiliation: a Faculdade de Medicina de Botucatu , Universidade Estadual Paulista , Botucatu , São Paulo State , Brazil.
authors.forename: Magda Massae Hata
authors.initials: MMH
authors.lastname: Viveiros
authors.affiliation: b King Khaled Specialist Eye Hospital , Riyadh , Saudi Arabia.
authors.forename: Alicia
authors.initials: A
authors.lastname: Galindo-Ferreiro
authors.affiliation: c Instituto de Biociencias de Botucatu , Universidade Estadual Paulista , Botucatu , São Paulo State , Brazil.
authors.forename: Carlos Roberto
authors.initials: CR
authors.lastname: Padovani
authors.affiliation: a Faculdade de Medicina de Botucatu , Universidade Estadual Paulista , Botucatu , São Paulo State , Brazil.|b King Khaled Specialist Eye Hospital , Riyadh , Saudi Arabia.
authors.forename: Silvana Artioli
authors.initials: SA
authors.lastname: Schellini
mesh_terms: D001938:Brazil / Q000453:epidemiology; D002648:Child; D003236:Conjunctivitis, Viral / Q000175:diagnosis / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D018450:Disease Progression; D058872:Epidemics / Q000706:statistics & numerical data*; D015828:Eye Infections, Viral / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D015995:Prevalence; D014141:Trachoma / Q000175:diagnosis / Q000453:epidemiology*; D014505:Urban Population
keywords: Conjunctival scar; epidemic viral conjunctivitis; inflammatory trachoma; prevalence; sequelae