Is it better to open the eye corner for inverted eyelashes?

Written by Tao Yuan
Ophthalmology
Updated on January 10, 2025
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Patients cannot be cured of trichiasis by undergoing canthoplasty. Symptoms of trichiasis generally do not improve after canthoplasty, as trichiasis is usually caused by the abnormal growth direction of the eyelashes at the edge of the eyelid towards the cornea, or by spasm of the orbicularis oculi muscle, causing the eyelid edge to roll towards the eyeball. Trichiasis can injure the corneal tissue, leading to eye congestion, redness, foreign body sensation, pain, photophobia, and tearing. For a small amount of trichiasis, the lashes can be plucked with tweezers, but this often recurs. If trichiasis recurs frequently, electrolysis treatment can be performed to destroy the follicles growing the ingrown lashes, thereby minimizing recurrence. For a large amount of trichiasis caused by entropion, surgical treatment is needed to correct the entropion for a cure.

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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 Wang Fang
Ophthalmology
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Entropion usually falls under the ophthalmology department.

Trichiasis should be treated by an ophthalmologist. Trichiasis is an eye condition caused by the tension factors of the eyelid's soft tissue, leading to the eyelashes attaching to or poking the surface of the eyeball, causing discomfort in the eyes. Depending on the severity of the condition, the following treatments can generally be chosen: First, if it is just a few lashes, electrolysis can be performed on these eyelashes. Electrolysis can destroy the few lashes stimulating the eyeball, preventing their regrowth and thereby relieving trichiasis. Second, if there are a larger number of lashes involved, trichiasis correction surgery should be chosen, which is a surgical treatment. After the surgery, the eyelashes can be made to turn outward, no longer irritating the eyeball.

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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 Zheng Xin
Ophthalmology
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Does trichiasis require a fundus examination?

Trichiasis refers to a condition where the eyelashes grow inward toward the eyeball, a sign related to the eye. Common symptoms include a foreign body sensation in the eye, photophobia, tearing, and even eye pain. Generally, an ophthalmologist can confirm the diagnosis with an examination under a slit lamp microscope. Therefore, it is not necessary to perform a fundus examination for trichiasis; a diagnosis can be clearly established just by using a slit lamp microscope examination.

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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.