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.