Inverted eyelashes?
Hello Dr.
Hu: I recently noticed that the corners of my eyes are particularly itchy, and I have a foreign body sensation.
I often rub my eyes with my hands, which makes it difficult to concentrate at work.
Upon closer inspection in the mirror, I found that it seems like my upper eyelashes are growing inward, which is very uncomfortable.
I'm afraid to cut or pluck them out for fear of injuring my eyeball.
What methods can help resolve this issue? I also heard that double eyelid surgery can effectively address this, and if it's due to inward-growing eyelashes, health insurance may cover it.
Is that true? Please reply, thank you!
Jimmy, 30~39 year old female. Ask Date: 2006/03/13
Dr. Hu Yusheng reply Ophthalmology
Dear Mr.
Jimmy,
Your symptoms may be caused by trichiasis.
If the number of ingrown eyelashes is not significant, they can be removed for treatment.
However, if there are many, you may consider a procedure covered by health insurance.
It is advisable to consult an ophthalmologist for examination and diagnosis, and it is best not to attempt to remove them yourself, as this will help the doctor make a proper assessment.
Thank you for your inquiry.
Best regards,
Dr.
Hu Yusheng,
Ophthalmology Department, Hsinchu Hospital, Health and Welfare Department
Reply Date: 2006/03/13
More Info
Inward-growing eyelashes, also known as trichiasis, can be a bothersome condition that leads to discomfort and irritation in the eyes. This condition occurs when the eyelashes grow inward toward the eye instead of outward, causing them to rub against the cornea and conjunctiva. This can result in symptoms such as itching, a foreign body sensation, redness, and tearing.
Causes of Inward-Growing Eyelashes
1. Genetic Factors: Some individuals may have a genetic predisposition to trichiasis, where the eyelash follicles are positioned in such a way that they lead to inward growth.
2. Eye Conditions: Certain eye conditions, such as chronic inflammation or scarring of the eyelids, can cause the eyelashes to grow inward. Conditions like blepharitis (inflammation of the eyelid margins) or previous eye surgeries can also contribute.
3. Trauma: Injury to the eyelid can alter the normal growth pattern of eyelashes, leading to trichiasis.
4. Aging: As people age, the skin and tissues around the eyes can lose elasticity, which may contribute to the misalignment of eyelashes.
Solutions for Inward-Growing Eyelashes
1. Avoid Rubbing: The first step is to avoid rubbing your eyes, as this can exacerbate irritation and lead to further complications.
2. Consult an Eye Specialist: It is crucial to see an ophthalmologist or optometrist for a proper diagnosis and treatment plan. They can assess the severity of the condition and recommend appropriate interventions.
3. Eyelash Removal: In some cases, the doctor may recommend temporary removal of the offending eyelashes. This can be done through a simple procedure, but it should only be performed by a qualified professional to avoid injury to the eye.
4. Electrolysis or Laser Treatment: For more permanent solutions, electrolysis or laser hair removal can be effective in permanently removing the problematic eyelashes.
5. Surgical Options: If the condition is severe or recurrent, surgical options may be considered. This could involve repositioning the eyelid or removing the affected eyelashes.
6. Double Eyelid Surgery: Regarding your question about double eyelid surgery, it is true that this procedure can sometimes help with trichiasis by altering the eyelid structure. However, it is essential to discuss this with your surgeon to understand the potential benefits and risks. In some cases, health insurance may cover the procedure if it is deemed medically necessary, particularly if the inward-growing eyelashes are causing significant discomfort or complications.
Conclusion
Inward-growing eyelashes can be a frustrating condition, but there are various treatment options available. It is essential to consult with an eye care professional to determine the best course of action tailored to your specific situation. They can provide guidance on both non-invasive and surgical options, ensuring that you receive the most effective care while minimizing risks to your eye health. If you are considering surgical options, be sure to discuss all your concerns and expectations with your surgeon to make an informed decision.
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