While on a Medical Volunteer Trip to an Impoverished Country

While on a medical volunteer trip to an impoverished country, you encounter a patient whose eyelids are turned inward as shown. What is the cause and the best treatment?

A) neonatal bacterial conjunctivitis; antibiotic or silver drops should have been given at birth
B) onchocerciasis (river blindness) ; doxycycline
C) viral conjunctivitis; no treatment but the condition will resolve with time
D) Acanthamoeba; corneal transplant will likely be necessary
E) trachoma; single dose of oral azithromycin