Will the inverted eyelashes grow back after being plucked?

Written by Li Zhen Dong
Ophthalmology
Updated on September 21, 2024
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Trichiasis, if plucked, can still regrow, and the new eyelashes may be harder than before, posing a more severe irritation to the conjunctiva and cornea of the eye, so plucking is not recommended. If there are few lashes, electrolysis of the eyelashes can be performed; if there are many, surgery can correct the trichiasis. Once trichiasis occurs, local anti-inflammatory eye drops should be used, such as levofloxacin eye drops, gatifloxacin eye drops, and eye ointment. Use tobramycin eye ointment and erythromycin eye ointment; do not apply heat, take rest, eat a light diet, reduce close work, have regular check-ups, and monitor your vision. (Please use medications under the guidance of a physician.)

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Written by Li Zhuo
Ophthalmology
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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.

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Written by Li Zhen Dong
Ophthalmology
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Can trichiasis be noticeable?

Trichiasis can be clearly seen with the naked eye; it causes friction on the conjunctiva, either on the sclera or the cornea, leading to damage to the corneal epithelium. This can result in keratitis, corneal neovascularization, and if not treated promptly, it can lead to further pathological changes in the cornea such as thinning, leukoma, and speckled opacities, severely impacting vision. Simple cases of minimal trichiasis can be treated with electrolysis, but more severe cases should be surgically treated. Complete recovery is possible after surgical treatment for trichiasis.

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Written by Zheng Xin
Ophthalmology
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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.

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Written by Zheng Xin
Ophthalmology
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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.

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Written by Li Zhen Dong
Ophthalmology
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Do a few inverted eyelashes need surgery?

If there are only a few inverted eyelashes, electrolysis of the eyelashes can be conducted. If there are many, surgical correction can be considered. The technology for surgical correction is currently quite mature, so there are generally not many problems. Inverted eyelashes must be treated. If left untreated, they can cause damage to the cornea. Damage to the cornea can lead to the growth of new blood vessels, resulting in a thin haze over the cornea, spots, and white patches, severely affecting vision. Although inverted eyelashes might seem like a minor issue, if not treated promptly, they can lead to serious complications. However, complete recovery is possible with treatment. It’s important to rest regularly, reduce close-up tasks, and use some corneal protective eye drops, such as sodium hyaluronate eye drops, and anti-inflammatory eye drops, such as levofloxacin eye drops. (Please use medication under the guidance of a doctor.)