Treatment of trichiasis

The article is professionally consulted by Master, Doctor Hoang Thanh Nga - Ophthalmologist - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital.

Ingrown hairs (Enlarged eyelids) is a condition that can be seen in anyone, including infants and the elderly. Enlarged eyelids, although not too dangerous, often cause discomfort and affect the patient's daily activities.

Trichiasis is a condition in which the eyelashes grow in the wrong direction and curl inwards on the inside of the eyelids. This causes the cornea and conjunctiva to be constantly rubbed by the eyelashes, leading to damage.
The ingrown hairs can appear scattered in small segments or appear on the entire eyelid area.

Trichinosis can be caused by many causes, such as:

Congenital tribulus is usually due to structural defects of the ciliary cartilage or hyperplasia of the sphincter and dermis in neonates. At that time, the eyelid margin turns inward, causing the eyelashes to constantly rub against the cornea. The disease, if not treated in time, can progress to corneal ulcers and adversely affect the child's vision.

This is considered to be one of the most common causes in people with trichiasis. The phenomenon of aging in the elderly makes the supporting tissues of the eyelids loose, causing the eyelashes to not be kept in the right direction and inward causing discomfort, itching, red eyes, and watery eyes.

Chronic blepharospasm can be seen in cases of eye inflammation or post-operative trauma. This condition occurs more often on the lower eyelid.

Some conjunctival diseases can lead to entropion complications such as ocular pemphigus, trachoma, chemical burns, Stevens - Johnson syndrome... When the eyelid conjunctiva is scarred, the eyelid cartilage is damaged. curved inward, in some cases accompanied by partial lash adhesions.

The common symptoms of trichiasis are quite easy to recognize, when the trichoriasis is in constant contact with the conjunctiva and cornea, it can cause:
Watery tears Red eyes The eyelid area has crusted crusts and discharge. Mucus Eyes feel lumpy, uncomfortable Sensitivity to light, especially when looking at bright light can cause eye pain Vision loss

In cases where trichiasis is suspected, the doctor will use a comprehensive slit lamp to examine the anterior portion. From there, there is a basis to evaluate the distribution of the incised eyelashes, and at the same time find the cause and distinguish it from other diagnoses.

The most commonly used treatment for trichiasis is surgery. Depending on the cause of the trichiasis, the doctor will choose different intervention techniques such as eyelash/hair follicle repositioning or eyelash/hair follicle removal.

Eyelash/hair follicle repositioning surgery is performed specifically as follows:
For horizontal or sagging eyelid entropion: The doctor will reattach the lower eyelid retractor muscle and remove the layer. body cartilage. For posterior scarring: The posterior lamina and arch can often be lengthened with the use of grafts.

Partial or local ingrown hairs can be treated by surgical removal of eyelashes/hair follicles. The use of regular forceps to pluck hairs is simply a timely measure because the hair follicles are still left. When it does, the hair that grows back can be even stiffer and more uncomfortable than before.
A more effective method of eyelash removal is electric eyelash removal. However, this method requires the patient to endure pain and sometimes causes difficulties for the medical team.
Besides surgical intervention, patients can reduce the rubbing of the eyelashes by using lubricants such as ointments or artificial tears. In addition, patients with trachoma can also consult their doctor about the use of doxycycline to inhibit myofibroblasts, thereby limiting and preventing the recurrence of trachoma after surgery. .
The patient may be prescribed medical treatment if the condition is serious, such as Stevens - Johnson syndrome or scarred bullae in the eye.

To be able to prevent and limit trichiasis in the best way, patients need to be fully informed about this condition. Ingrown hairs are not dangerous, but if left untreated, they can become serious and affect vision.
Therefore, the patient should be alert to any symptoms of trichiasis. When the symptoms of trichiasis as mentioned above appear, you should immediately go to the ophthalmology facilities for specific examination and advice.
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