Is it normal to have one or two inverted eyelashes?

Written by Li Zhen Dong
Ophthalmology
Updated on September 29, 2024
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Having one or two eyelashes growing inwards is abnormal. Normally, eyelashes should not rub against the conjunctiva and cornea. If this occurs, do not pluck the eyelashes. Electrolysis surgery can be performed on the eyelashes, and after the surgery, the inturned lashes will not grow back, thus they will no longer affect the conjunctiva and cornea. If inflammation of the conjunctiva and cornea occurs, anti-inflammatory eye drops, such as levofloxacin, and sodium hyaluronate eye drops, which protect the corneal epithelium, can be used for effective treatment. Generally, these issues are not serious and do not affect vision. However, if vision is impacted, further examination and treatment should be sought from an ophthalmologist.

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Written by Li Zhen Dong
Ophthalmology
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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)

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Written by Zheng Xin
Ophthalmology
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Is praying to gods and worshipping Buddha effective for trichiasis?

Trichiasis generally has two types, one is simple trichiasis, which can be treated through electrolysis. By using an electric needle to destroy the hair follicle, the follicle will no longer produce eyelashes. The other type is caused by entropion of the eyelid, which requires surgical correction of the entropion to be cured. Therefore, the treatment of trichiasis needs to be conducted in a hospital; praying to gods and worshipping is of no effect and serves only as a psychological effect.

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Written by Tao Yuan
Ophthalmology
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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.)

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Written by Li Zhen Dong
Ophthalmology
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If trichiasis is not treated for a long time, what are the consequences?

If trichiasis is not actively treated, or is left untreated for a long period of time, it can lead to inflammation of the conjunctiva. If the cornea becomes inflamed, it can severely affect vision. The occurrence of keratitis can lead to the formation of corneal ulcers and corneal perforation, which can result in blindness. Furthermore, even if the keratitis heals, it can cause varying degrees of corneal opacities such as nebula, macula, and leucoma, which also severely affect vision. Another issue is the growth of new blood vessels on the cornea, which decreases corneal transparency and affects vision. Thus, although trichiasis may seem a minor issue, the consequences of not treating it actively can be very severe.

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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.