Can opening the eye corner cure trichiasis?

Written by Li Zhen Dong
Ophthalmology
Updated on September 10, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Li Zhen Dong
Ophthalmology
45sec home-news-image

Can people with trichiasis wear contact lenses?

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.

doctor image
home-news-image
Written by Li Zhen Dong
Ophthalmology
55sec home-news-image

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)

doctor image
home-news-image
Written by Li Zhen Dong
Ophthalmology
44sec home-news-image

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.

doctor image
home-news-image
Written by Li Zhen Dong
Ophthalmology
46sec home-news-image

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.

doctor image
home-news-image
Written by Zheng Xin
Ophthalmology
34sec home-news-image

Will surgery for inverted eyelashes leave scars?

The types of trichiasis can be divided into two categories. One type is simple trichiasis, where the eyelashes grow inward. Its treatment can be through electrolysis, which involves using an electric needle to destroy the hair follicle before plucking it out, preventing future eyelash growth from that follicle. The other type is caused by entropion of the eyelid, which requires corrective surgery for the inward-turning eyelid, involving an incision in the skin. Therefore, treatment of this type of trichiasis will result in scars on the skin.