Pre-Surgery Checklist for Inverted Eyelashes: Essential Eye Exam and Tips - Ophthalmology

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Inward-growing eyelashes


Before undergoing eyelash inversion surgery, what kind of medical examinations are required? Additionally, what should be noted prior to the surgery?

Andy, 20~29 year old female. Ask Date: 2016/03/09

Dr. Wang Zhishun reply Ophthalmology


Generally, no physical examination is required for local anesthesia.
Prior to the procedure, ensure that the eyelids are clean and free of makeup.

Reply Date: 2016/03/09

More Info


When preparing for surgery to correct inverted eyelashes, also known as trichiasis, it's essential to follow a comprehensive pre-surgery checklist to ensure the best possible outcome. Here are the key components to consider:

1. Comprehensive Eye Examination
Before undergoing any surgical procedure, a thorough eye examination is crucial. This examination typically includes:
- Visual Acuity Test: To assess how well you see at various distances.

- Slit Lamp Examination: This allows the ophthalmologist to examine the anterior segment of your eye, including the eyelids, eyelashes, and cornea, for any abnormalities.

- Tear Film Assessment: Since inverted eyelashes can often lead to dry eye symptoms, your doctor may evaluate the quality and quantity of your tear film.

- Assessment of Eyelid Function: The surgeon will check how well your eyelids close and open, as this can affect the surgical approach.


2. Medical History Review
Your surgeon will review your medical history, including any previous eye surgeries, current medications, allergies, and any underlying health conditions. This is important because certain conditions, such as autoimmune diseases or diabetes, can affect healing.


3. Medication Management
Discuss any medications you are currently taking with your surgeon. You may need to stop taking certain medications, such as blood thinners or anti-inflammatory drugs, a few days before the surgery to minimize bleeding and complications.


4. Preoperative Instructions
Your surgeon will provide specific instructions to follow before the surgery. These may include:
- Avoiding Contact Lenses: If you wear contact lenses, you may be advised to stop wearing them for a period before the surgery to allow your cornea to return to its natural shape.

- Hygiene Practices: Maintain good eyelid hygiene to reduce the risk of infection. This may involve cleaning your eyelids with a gentle cleanser or prescribed wipes.

- Avoiding Makeup: Refrain from using eye makeup for at least a week prior to the surgery to minimize the risk of infection.


5. Post-Surgery Planning
It's also wise to plan for your recovery after the surgery. This includes:
- Arranging Transportation: Since you may be under sedation or anesthesia, arrange for someone to drive you home after the procedure.

- Setting Up a Comfortable Recovery Space: Prepare a quiet and comfortable area at home where you can rest and recover. Have ice packs ready to reduce swelling and any prescribed medications on hand.


6. Understanding the Procedure
Educate yourself about the surgical procedure. Inverted eyelash surgery typically involves removing or repositioning the eyelashes to prevent them from rubbing against the cornea. Understanding the procedure can help alleviate anxiety and prepare you mentally for the surgery.


7. Discussing Risks and Benefits
Have an open discussion with your surgeon about the potential risks and benefits of the surgery. While the procedure is generally safe, understanding the possible complications, such as infection, scarring, or recurrence of the condition, is essential for informed consent.


Conclusion
In summary, preparing for inverted eyelash surgery involves a thorough eye examination, careful medication management, adherence to preoperative instructions, and planning for recovery. By following these guidelines and maintaining open communication with your healthcare provider, you can help ensure a successful surgical outcome and a smooth recovery process. Always remember to voice any concerns or questions you may have with your surgeon, as they are there to support you throughout this journey.

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