Can inverted eyelashes be fixed with an eyelash curler?

Written by Li Zhen Dong
Ophthalmology
Updated on December 14, 2024
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In general, it is not advisable to pluck inverted eyelashes with tweezers, as the more you pluck, the thicker the inverted eyelashes become, making them more likely to injure the cornea and conjunctiva. This means the eyelashes become harder, creating a vicious cycle. If you have inverted eyelashes, it’s important to actively treat the condition: if there are few eyelashes, electrolysis can be done; if there are many, corrective surgery for inverted eyelashes is recommended and generally effective. During the period of dealing with inverted eyelashes, you should use anti-inflammatory eye drops and eye drops that protect the corneal epithelium, such as Levofloxacin eye drops and Sodium Hyaluronate eye drops. It's important to rest, avoid rubbing your eyes with dirty hands, maintain a light diet, avoid spicy and irritating foods, and monitor your vision.

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Written by Zheng Xin
Ophthalmology
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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.

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Written by Tao Yuan
Ophthalmology
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How should I deal with just one inverted eyelash?

Having just one ingrown eyelash is a relatively mild symptom of trichiasis, but it can irritate the corneal epithelium, causing a sensation of a foreign body in the eye. For treatment, tweezers can be used to pluck the ingrown eyelash. Simply plucking the ingrown lash does not destroy the follicle that produces the ingrown eyelash, so recurrence is common. If the ingrown lashes recur frequently, electrolysis treatment can be considered. This involves inserting a specially designed probe into the follicle producing the ingrown lash and applying electricity to destroy the follicle, which helps prevent recurrence. However, electrolysis treatment for ingrown eyelashes can cause significant eye pain during the procedure. It is not recommended for elderly patients with underlying heart conditions.

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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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Will the inverted eyelashes grow back after being plucked?

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 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)