Can people with trichiasis wear contact lenses?

Written by Li Zhen Dong
Ophthalmology
Updated on September 22, 2024
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Patients with trichiasis often experience inflammation of the conjunctiva and the cornea, therefore, they cannot wear contact lenses. Once trichiasis occurs, it should be actively treated, especially targeting the trichiasis itself. If it is just a few eyelashes that are inverted, electrolysis of the eyelashes can be performed. If there are many eyelashes inverted, then surgical treatment should be considered. Once the condition stabilizes, contact lenses can be worn. However, since trichiasis affects corneal lesions, a corneal bandage lens can be worn to protect the cornea. Active treatment with eye drops and eye ointments is recommended, and hot compresses should be avoided.

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Written by Tao Yuan
Ophthalmology
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Will there be scars after entropion surgery?

After the surgery for trichiasis, scars may remain in the eyelid area. However, because the skin on the eyelids has a strong healing ability, the scars usually are not conspicuous. Trichiasis is usually caused by a spasm in the orbicularis oculi muscle inside the eyelid, leading to entropion. Eyelashes poking toward the corneal tissue scratch the corneal epithelium with each blink, causing redness, eye pain, foreign body sensation, photophobia, and tearing. If not treated promptly, it can easily lead to keratitis and may form scars within the corneal tissue, reducing corneal transparency and thus affecting the patient’s vision. Treatment typically requires surgery to remove excess loose skin on the eyelids and to eliminate part of the spasmodic orbicularis oculi muscle, returning the eyelid to its normal position and alleviating the symptoms.

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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 Tao Yuan
Ophthalmology
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Why did a trichiasis suddenly grow?

A sudden formation of an ingrown eyelash is usually due to chronic inflammation in the eyelid margin area, which causes abnormalities in the eyelash follicles. Consequently, the direction of the eyelash growth no longer points straight forward but instead grows toward the eyeball. As the eyeball moves and blinks, the eyelash rubs against the corneal epithelium, causing noticeable symptoms such as a foreign body sensation, stabbing pain, congestion, redness, photophobia, tearing, and a decline in vision. One can visit the ophthalmology department of a hospital for a face-to-face examination and confirmation of the condition. Removing the ingrown eyelash can alleviate the symptoms, but recurrence is possible. If it recurs repeatedly, electrolysis treatment for ingrown eyelashes can be considered. This involves inserting a specially designed probe deep into the follicle of the ingrown eyelash and then passing an electric current through it. The electric current will destroy the follicle of the ingrown eyelash, making it less likely to recur.

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Written by Li Zhen Dong
Ophthalmology
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Will the surgery for trichiasis recur?

Entropion is treated surgically by removing a part of the eyelid skin to correct the entropion and prevent the eyelashes from irritating the conjunctiva or the cornea. The surgical outcomes for this condition are generally good. Over time, as eyelids may become more lax, entropion can recur. However, this is not considered a recurrence but rather a progression of the condition. Following these occurrences, the primary focus should be on maintaining good eye hygiene, proper eye usage, avoiding staying up late, consuming a bland diet, and avoiding spicy and irritating foods. Regular follow-ups are recommended, along with consuming fruits and vegetables that are high in vitamins E, A, and C.

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Written by Li Zhen Dong
Ophthalmology
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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.