For most of her life, Napolo, from Narok West Sub-county near the Kenya-Tanzania border, lived with constant eye pain. Now 78 years old, she first noticed discomfort in her 30s. Her eyes often felt irritated, as if filled with sand, and she experienced tearing and discharge that made it difficult to see. This attracted flies, but Napolo had no access to clean water to wash her face.
Napolo wasn’t aware that she was suffering from trachoma, a bacterial infection of the eye and the leading cause of blindness in areas with shortages of water and crowded living conditions. The bacteria spreads easily through contact with eye discharge from infected people on hands and clothing, and also through direct transmission by flies.
If left untreated, trachoma causes the eyelids to turn inward, making the eyelashes rub painfully against the surface of the eye. This causes permanent scarring of the cornea and irreversible vision loss.
Without access to regular health care, Napolo turned to traditional remedies. Her family members would pluck out her eyelashes to help ease the pain, but the relief never lasted. The irritation always returned, and over time, Napolo’s vision became worse.
In her Maa community, many people had similar symptoms, and plucking one’s eyelashes out was considered normal. Health workers occasionally visited their community, but Napolo often missed them because she was always out looking after her animals, sometimes even crossing over the border to let the animals graze in Tanzania. She somehow managed despite her diminishing vision and increasing pain.
One fateful day, an Operation Eyesight-trained Community Health Promoter visited Napolo’s home – and the visit changed everything.
You see, for many years Operation Eyesight has been working to eliminate trachoma in communities like Napolo’s. Through the Kenya Trachoma Elimination Program, funded by Sightsavers International, Operation Eyesight and partners are working to eliminate trachoma in Narok West Sub-county and the entire country by 2028. With this support, and in collaboration with the Narok County Department of Health, we launched a door-to-door screening initiative to identify remaining cases of trachoma trichiasis – the painful late stage of the disease. We provided training and resources for local Community Health Promoters. They screen people in their communities and refer those in need of eye care to our nearest partner facility.
During a community screening in November 2024, Napolo was identified and referred to Talek Health Centre, an outreach site that provides surgical treatment for trachoma patients. At the health centre, the ophthalmic team examined Napolo’s eyes and confirmed her diagnosis.
Napolo agreed to undergo eyelid surgery to correct her inward-turned eyelids. The procedure was successful, and her recovery brought immense relief, preventing further damage to her eyes and preserving her remaining vision.
“I have longed for this comfort for decades. There is no more discomfort, and I can open my eyes freely,” Napolo said. “I thank Operation Eyesight and the doctors who assisted me, and I will definitely refer anyone in my community that has the same problem so that they can be assisted.”
Napolo’s story shows how access to quality eye care can transform lives.
Did you know? Trachoma is the leading cause of infectious blindness.
Currently, 103 million people live in trachoma endemic areas and are at risk of trachoma blindness, and presently 1.9 million people are experiencing vision impairment or blindness due to the disease.1 It is found in 32 countries, in areas with shortages of clean water and crowded living conditions. Caused by the bacteria Chlamydia trachomatis, trachoma is spread by eye-seeking flies and personal contact. Children and women are at particular risk.
Operation Eyesight follows the World Health Organization-endorsed SAFE strategy, which has proven effective in eliminating trachoma. The SAFE strategy is a comprehensive treatment and prevention program that includes Surgery to treat the late stage of the disease, Antibiotics to eliminate infection, Face washing and hygiene education, and Environmental change including wells and latrines.
Join us in supporting programs that bring vital vision care to people like Napolo and also address the root causes of vision loss. Together, we can eliminate trachoma and ensure everyone has access to the eye care they deserve. Give the Gift of Sight today. Join us in supporting programs that bring vital vision care to people like Napolo and also address the root causes of vision loss. Together, we can eliminate trachoma and ensure everyone has access to the eye care they deserve. Give the Gift of Sight today.
