Trichiasis (Ingrown Eyelashes)

Trichiasis (Ingrown Eyelashes)


What is Trichiasis?

Trichiasis is a fairly common lid abnormality, caused by misdirection of eyelashes toward the inside of the eye. The misdirected lashes may be present across the entire lid or may involve just a small part of the eyelid.

What are the symptoms of Trichiasis?

  • Eye becomes red and irritated
  • Feels as though something is in it (foreign body sensation)
  • Tearing
  • Sensitivity to light (photophobia)
  • If the condition persists, it may result in blurred vision due to scarring of the cornea

What causes Trichiasis?

Some causes of trichiasis are:

  • Scarring on the inside of the eye
  • Inflammation (swelling) of the eyelid
  • Trauma

What are the treatment options?

The treatment for Trichiasis involves removing the eyelash, follicle or both, or redirecting eyelash growth.

Epilation- Sometimes trichiasis affects only a few eyelashes. Dr.Sneha may simply remove them with forceps (tweezers). There is always a chance the eyelashes may grow back again in the wrong direction. If this happens, a more permanent solution will be sought, such as:

  • Ablative surgery and Electrolysis- using radiofrequency or lasers, to remove the lashes and hair follicles
  • Cryosurgery- to freeze and destroy the hair follicle
  • Excision- of the hair follicle

What does the surgery entail?

All procedures for trichiasis are fairly rewarding in terms of providing permanent relief from often long standing problems. Dr.Sneha will first numb the eyelid and then remove the eyelash and follicle by the chosen method. The entire procedure usually takes less than half an hour and you will be able to go home soon after.

What are the potential complications of treatment?

The only complication of Trichiasis is that the lashes may grow back again or an adjacent lash may turn inwards causing discomfort.