Trichiasis. Diagnosis and treatment
Do you experience discomfort from a bright light in your eyes, sometimes blink, suffer from extreme lacrimation and feel a foreign body in your head? Perhaps these issues are related to excessive eyelash growth on the eyelids, i.e. trichiasis.
The reduction is eyelash epilation. People usually strive to hold their eyelashes and sometimes make them longer. However, in certain illnesses, such as trichiasis, eyelashes must be separated so that a treatment course can be successfully completed.
Trichiasis is a characteristic of the development of eyelashes, where they do not expand upward and outward, but inward and downward, causing damage to the eye. It may be a congenital condition or trichiasis may occur with various eye injuries, or after surgery or eyelid ciliary edge diseases.
Trichiasis-eyelashes that develop inappropriately continuously causes damage to the eyeball-is not difficult to diagnose. Upon evaluation a doctor prescribes eyelash epilation. Preparation for the procedure would depend on how it is conducted.
You should cut the eyelash along with the hair follicle to prevent excessive growth of poorly placed hair. This can be achieved by surgery, either by electro- or diathermocoagulation.
Since the intervention area is small, the eyelash epilation is performed under a microscope. The Istra Medical Center has all the required equipment and trained staff for the successful removal of eyelash hair under a microscope.
In a normal state, an eyelid with naturally rising eyelashes protects the eye from dirt and dust, too bright lighting and other associated violent factors. However when you turn the ciliary edge inward, the eyelashes start scratching the cornea which can lead to multiple ulcerations if you don't solve the problem.
Trichiasis treatment
Medications alone can't cure the disease. Anti-inflammatory drops and ointments relieve discomfort and inflammation, but such therapy can't stop ciliary hair growth.
Thus, trichiasis care requires more extreme approaches, namely: mechanical removal of irregular eyelashes with tweezers.
Method minus: this process needs to be repeated every few weeks, as the hair grows again and again.
Laser hair removal and electrolysis, in a small area affected by trichiasis, can be used. Laser and electrolysis kill the hair follicle, and cilium does not expand any more.
Surgery
This approach can be used for dystrichiasis and dystichiachus, as well as in the case of pathological cilia rising continuously. Through this procedure a skin flap is removed through poorly rising eyelashes, which is then replaced by a skin fragment taken from the lip's eyelid or mucous membrane. A slice of skin taken from the eyebrow is used with eyelashes completely vanishing. This surgical operation is conducted in a hospital and can take from 20 minutes to an hour depending on the level of complexity. The wound is then treated with bactericidal drops following surgery.
When ulcers appear on the cornea, a comprehensive treatment is performed, which includes resection of a skin site affected by trichiasis, transplantation of a new flap taken from the eyebrow, and therapy of ulcers on the cornea of the eye. For this purpose, a course of treatment is prescribed with the help of ointments containing antibiotics and antibacterial drops.
A thorough treatment is done when ulcers develop on the cornea, which involves resection of a skin site infected by trichiasis, transplantation of a new flap taken from the eyebrow and ulcer therapy on the eye's cornea. A treatment course is prescribed for this purpose with the aid of ointments which contain antibiotics and antibacterial drops.
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