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Trichiasis
Can people with trichiasis exercise?
Do you mean that it involves usual activities such as running or other sports? Trichiasis primarily results from the poor positioning of eyelashes, which touch the cornea, mainly damaging the corneal epithelium. Treatment can be based on the extent of trichiasis. If there are many inverted eyelashes, a correction surgery for trichiasis can be performed. If there are fewer, plucking them is possible, and corneal nutrients can be administered, such as Hailu eye drops and the antibiotic eye drops ofloxacin. It does not affect normal activities and sports in general. I am not sure if this answers your question; this is a general description of the condition of trichiasis.
Can trichiasis cause corneal damage?
If trichiasis persists in rubbing against the cornea, it will cause damage to the cornea. Long-term abrasion can lead to corneal neovascularization, damage the corneal epithelium, and leave opacity, sometimes forming speckled opacity or even leukoplakia, severely affecting vision. Once trichiasis occurs, active treatment is necessary. If there are only a few lashes involved, electrolysis of the eyelashes can be done; if there are many, surgery is essential. The surgery for trichiasis is generally successful, fully capable of correcting the condition, protecting the cornea, preserving vision, and alleviating the symptoms of the patient.
Does trichiasis need to be corrected?
Trichiasis must be treated because it can cause damage to the conjunctiva and cornea. Damage to the cornea can lead to unnecessary corneal inflammation, thinning of the cornea, spotty opacity, scarring, and neovascularization, seriously affecting vision. Therefore, proactive treatment is essential. If there are only a few lashes involved in trichiasis, electrolysis can be used for treatment. If there are many lashes involved, surgical treatment is necessary. During this period, anti-inflammatory eye drops should be used, such as levofloxacin eye drops and erythromycin eye ointment, along with eye drops that protect the corneal epithelium, such as sodium hyaluronate and calf blood deproteinized extract drops. With these treatments, complete recovery is possible. (Please use medication under the guidance of a doctor)
The harms of trichiasis
Trichiasis refers to the condition where eyelashes grow backward and irritate the eyeball. There are many causes of trichiasis, including eye injuries such as burns which can lead to scar formation and subsequently scarring trichiasis. Other causes include blepharitis and meibomian gland dysfunction. The harm posed by trichiasis is significant; the misdirected growth of eyelashes towards the eyeball and their constant friction can lead to conjunctival congestion, corneal opacity, ingrowth of new blood vessels into the cornea, and potentially result in keratitis and corneal ulcers.
Entropion usually falls under the ophthalmology department.
Trichiasis should be treated by an ophthalmologist. Trichiasis is an eye condition caused by the tension factors of the eyelid's soft tissue, leading to the eyelashes attaching to or poking the surface of the eyeball, causing discomfort in the eyes. Depending on the severity of the condition, the following treatments can generally be chosen: First, if it is just a few lashes, electrolysis can be performed on these eyelashes. Electrolysis can destroy the few lashes stimulating the eyeball, preventing their regrowth and thereby relieving trichiasis. Second, if there are a larger number of lashes involved, trichiasis correction surgery should be chosen, which is a surgical treatment. After the surgery, the eyelashes can be made to turn outward, no longer irritating the eyeball.
Does trichiasis require a fundus examination?
Trichiasis refers to a condition where the eyelashes grow inward toward the eyeball, a sign related to the eye. Common symptoms include a foreign body sensation in the eye, photophobia, tearing, and even eye pain. Generally, an ophthalmologist can confirm the diagnosis with an examination under a slit lamp microscope. Therefore, it is not necessary to perform a fundus examination for trichiasis; a diagnosis can be clearly established just by using a slit lamp microscope examination.
What should I do if trachoma causes entropion and trichiasis?
Trachoma is a common ophthalmic disease caused by Chlamydia infection of the conjunctival tissue of the eye, resulting in inflammation. Trachoma can lead to substantial scarring of the conjunctiva. As scar tissue contracts, it can cause the eyelids to curl towards the eyeball, leading to entropion and trichiasis. Initially, it is necessary to use antibiotic eye drops to eliminate the Chlamydia infection and prevent the condition from worsening. Commonly used treatments include Levofloxacin eye drops, Rifampicin eye drops, and Sulfacetamide Sodium eye drops. Once the infection is completely eliminated, surgical correction of the entropion can be performed to alleviate the irritation caused by trichiasis to the patient's eyeball. (Please use medication under the guidance of a doctor.)
Can people with trichiasis undergo myopia surgery?
Generally, people with trichiasis should not undergo myopia surgery, as trichiasis primarily affects the eyeball. It causes abrasion to the cornea, affects the corneal epithelium, and can lead to neovascularization of the cornea and corneal pathology. Following the occurrence of trichiasis, surgical treatment should be considered. If there are only a few ingrown lashes, electrolysis of the eyelashes might be performed. After active treatment and once the condition has stabilized, the possibility of undergoing myopia surgery can be considered. Current options for myopia surgery include corneal laser reshaping surgery and ICL (Implantable Collamer Lens) surgery.
Can opening the eye corner cure trichiasis?
Trichiasis, if caused by epicanthus, can be corrected by canthoplasty. If it is not caused by epicanthus but by entropion of the eyelid, canthoplasty will not be effective. For trichiasis with few lashes involved, electrolysis can be used for treatment. If there are many lashes involved in trichiasis, entropion surgery can be performed. The surgery is minor and complete recovery is possible; usually, dressings are changed after surgery and recovery can be expected within about a week. If trichiasis severely wears down the cornea, active treatment should be sought to protect vision and the cornea.
Can trichiasis be treated without surgery?
Whether surgery is needed for inverted eyelashes depends on the specific situation. If it is just one or a few eyelashes irritating the eyeball and the symptoms are not significant, you can choose the local electrolysis method to destroy the hair follicles of these eyelashes, preventing their regrowth. This will not affect the appearance and can fundamentally solve the problem. However, if there are a large number of inverted eyelashes causing significant irritation to the eyeball, surgery is recommended for correction. Without surgery, long-term irritation from the eyelashes could cause irreversible damage to the eye, such as scarring or ulcers on the cornea, which could eventually affect vision. Some patients might intermittently pull out the eyelashes, but this is not advisable, as the eyelashes will grow back.