Managing Inward-Growing Eyelashes: Surgical and Non-Surgical Solutions

Inverted eyelashes #Keloid

Dear Dr.
Tsai,
I would like to inquire about the ingrown eyelashes in the mid to inner section of my lower eyelid.
I seem to have a tendency for scar contracture, and I am considering whether surgical intervention could alleviate the discomfort caused by the ingrown lashes.
In recent years, due to the ingrown lashes, my eyes have become increasingly red.
If surgery is not an option, are there any other solutions available? Currently, I am passively managing the situation by trimming or occasionally mustering the courage to pluck the lashes.
Thank you!

Pu, 30~39 year old female. Ask Date: 2018/06/24

Dr. Cai Wenyuan reply Ophthalmology

Hello, I apologize, but it may be necessary to have an in-person consultation for examination.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/06/24

More Info

Managing inward-growing eyelashes, also known as trichiasis, can be a challenging issue, especially when it leads to discomfort and complications such as redness and irritation of the eyes. In your case, where you have a predisposition to scar tissue contraction, surgical intervention may be a viable option, but it is essential to weigh the benefits against the risks.

Surgical Solutions
1. Eyelash Removal: One of the most straightforward surgical options is the removal of the affected eyelashes. This can provide immediate relief from discomfort. However, this is often a temporary solution, as the eyelashes may grow back in the same direction.

2. Eyelid Surgery (Blepharoplasty): If the inward-growing eyelashes are due to structural issues with the eyelid, a surgical procedure to correct the eyelid position may be necessary. This can involve tightening or repositioning the eyelid to prevent the eyelashes from growing inward.

3. Electrolysis: This method involves using electrical currents to destroy the hair follicle, preventing the eyelashes from growing back. It is a more permanent solution compared to simple removal.

4. Cryotherapy: This technique involves freezing the hair follicles to inhibit future growth. It can be effective but may require multiple sessions.

Non-Surgical Solutions
If surgery is not an option or if you prefer to explore non-invasive methods first, there are several alternatives:
1. Regular Trimming: As you mentioned, trimming the eyelashes can provide temporary relief. However, this requires regular maintenance and may not be a long-term solution.

2. Eyelash Epilation: While you have been using tweezers to pull out the ingrown lashes, this method can be painful and may lead to irritation or infection if not done carefully. It is advisable to consult with a professional for this procedure.

3. Topical Treatments: In some cases, topical treatments such as corticosteroids may help reduce inflammation and irritation caused by the inward-growing eyelashes. However, these should be used under the guidance of a healthcare professional.

4. Artificial Tears: If your eyes are becoming red and irritated, using lubricating eye drops can help alleviate dryness and discomfort. This is particularly useful if the irritation is due to the eyelashes rubbing against the eye.

5. Consultation with an Ophthalmologist: Given your history of scar tissue contraction, it is crucial to consult with an ophthalmologist or a specialist in ocular surgery. They can provide a thorough evaluation and recommend the best course of action tailored to your specific condition.

Conclusion
Inward-growing eyelashes can lead to significant discomfort and complications if left untreated. While surgical options may provide a more permanent solution, non-surgical methods can also offer relief. It is essential to consult with a qualified eye care professional who can assess your condition and recommend the most appropriate treatment based on your individual needs and medical history. Regular follow-ups and monitoring will be crucial in managing this condition effectively.

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