Can inverted eyelashes be plucked out?

Written by Li Zhen Dong
Ophthalmology
Updated on June 12, 2025
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Ingrown eyelashes should not be plucked, as this can cause the new eyelashes to grow back thicker and harder, leading to more severe damage to the conjunctiva and cornea. If there are only a few, electrolysis treatment for the eyelashes is possible. If the condition is severe, surgical treatment to correct the ingrown eyelashes is entirely feasible. During this period, using eye drops such as levofloxacin eye drops and sodium hyaluronate eye drops can be beneficial. Do not apply heat, monitor your vision, and have regular check-ups. Eat a light diet and avoid spicy and irritating foods. (Note: The use of medications should be under the guidance of a professional doctor.)

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Written by Li Zhen Dong
Ophthalmology
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Can opening the eye corner cure trichiasis?

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.

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Written by Wang Fang
Ophthalmology
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Will trichiasis cause the eyes to tear?

Trichiasis can cause the eyes to tear. Patients with trichiasis exhibit significant tearing symptoms because the cornea is rich in nerve endings and is very sensitive to foreign stimuli. In trichiasis, the eyelashes poke and irritate the cornea, thus stimulating the nerve endings and causing reflex tearing. Therefore, patients with trichiasis should be treated promptly to avoid irreversible damage to the cornea, such as scars or corneal ulcers. For minor trichiasis, local electrolysis can be used to destroy the hair follicles so they no longer grow; for more severe cases, it is recommended to visit a hospital for surgical correction of the trichiasis.

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Written by Tao Yuan
Ophthalmology
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Besides surgery, how can trichiasis be treated?

Patients with trichiasis can undergo electrolysis treatment for trichiasis in addition to surgical treatment to eliminate symptoms. This involves using a specially designed electric probe that enters the follicles of the misdirected eyelashes, and through the action of electric current, destroys the follicle, thereby preventing the formation of trichiasis. However, electrolysis treatment for trichiasis is only suitable for patients with a small number of misdirected eyelashes, as treating a large number of them can lead to the growth of scar tissue on the eyelid margin, causing complications such as entropion or ectropion. Patients with extensive trichiasis generally need to undergo surgery for correction and treatment.

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Written by Li Zhen Dong
Ophthalmology
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Can people with trichiasis wear orthokeratology lenses?

If you have trichiasis, it is generally not advisable to wear orthokeratology lenses until the trichiasis is treated. The treatment for trichiasis is straightforward. If there are only a few inverted eyelashes, electrolysis can be performed. If there are many, surgical treatment can be carried out. This is because trichiasis can easily lead to various pathological changes in the conjunctiva and cornea, such as conjunctivitis and keratitis. Keratitis can lead to the formation of corneal nebula, plaques, leukoma, or neovascularization. Therefore, it is crucial to treat the condition actively. Once the condition is stable and completely healed, then orthokeratology lenses can be worn. If there are only a few inverted eyelashes, electrolysis can be performed, and if there are many, surgical treatment can be considered, which is relatively simple.

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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.