Will surgery for inverted eyelashes leave scars?

Written by Zheng Xin

Ophthalmology

Updated on September 26, 2024

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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 Li Zhen Dong

Ophthalmology

1min 5sec

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Do a few inverted eyelashes need surgery?

If there are only a few inverted eyelashes, electrolysis of the eyelashes can be conducted. If there are many, surgical correction can be considered. The technology for surgical correction is currently quite mature, so there are generally not many problems. Inverted eyelashes must be treated. If left untreated, they can cause damage to the cornea. Damage to the cornea can lead to the growth of new blood vessels, resulting in a thin haze over the cornea, spots, and white patches, severely affecting vision. Although inverted eyelashes might seem like a minor issue, if not treated promptly, they can lead to serious complications. However, complete recovery is possible with treatment. It’s important to rest regularly, reduce close-up tasks, and use some corneal protective eye drops, such as sodium hyaluronate eye drops, and anti-inflammatory eye drops, such as levofloxacin eye drops. (Please use medication under the guidance of a doctor.)

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Written by Li Zhen Dong

Ophthalmology

44sec

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Can people with trichiasis undergo myopia surgery?

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.

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Written by Li Zhen Dong

Ophthalmology

53sec

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Can inverted eyelashes be fixed with an eyelash curler?

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 Tao Yuan

Ophthalmology

1min

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What should be noted for trichiasis?

Patients with trichiasis should note the following: First, when trichiasis damages the corneal epithelium, causing noticeable symptoms of eye pain, foreign body sensation, photophobia, and tearing, medication that promotes the repair of the corneal epithelium is needed, such as recombinant human epidermal growth factor eye drops, recombinant bovine basic fibroblast growth factor eye drops, etc. Second, once trichiasis leads to conjunctivitis, keratitis, and other infectious eye diseases, it is necessary to promptly use antibiotic eye drops for treatment, such as tobramycin eye drops, ofloxacin eye drops, etc. Third, a small amount of trichiasis can be plucked or treated with electrolysis, but for numerous trichiasis caused by entropion, surgical correction of the entropion is required for cure. (Please follow medical advice when using medications.)

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Written by Li Zhuo

Ophthalmology

1min 4sec

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How to deal with inverted eyelashes

For trichiasis, it first depends on the nature of the ingrown eyelashes. If there are only a few, such as one or two, it is recommended to pluck them out. For some people, once these are plucked, the new eyelashes may grow back in the correct position, so no further treatment is necessary. If the ingrown eyelashes recur repeatedly as individual lashes, electrolysis of the hair follicle can be performed to destroy the follicle, preventing the eyelashes from growing back. However, because this is a destructive procedure, many hospitals have discontinued it, though some still offer this treatment. If there are many ingrown eyelashes, appearing in rows, the treatment depends on the position of the eyelid. Eyelash correction surgery may be necessary. Depending on the specific situation, excision of the tarsal plate to correct the trichiasis can be considered as well.