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Trichiasis

By

James Garrity

, MD, Mayo Clinic College of Medicine and Science

Last full review/revision Jul 2020| Content last modified Jul 2020
Click here for the Professional Version

Trichiasis is misalignment of eyelashes, which rub against the eyeball, in a person who does not have entropion.

Trichiasis develops most commonly some time after chronic blepharitis Blepharitis Blepharitis is inflammation of the edges of the eyelids, possibly with thickening scales, crusts, shallow ulcers, or redness and swelling at the edges of the eyelids. The inflammation is caused... read more Blepharitis (inflammation of the edges of the eyelids) or injury or damage to the eyelid or conjunctiva. Some people are born with an extra eyelid skinfold (epiblepharon) that causes the eyelashes to grow straight up into the eye or with an extra row of eyelashes (distichiasis).

Symptoms of Trichiasis

In people with trichiasis, the eye becomes red and irritated, feels as though something is in it (foreign body sensation), and develops tearing and sensitivity and sometimes pain when exposed to light. If the condition persists, scarring of the cornea can occur.

Diagnosis of Trichiasis

  • Symptoms and a doctor's examination

A doctor bases the diagnosis of trichiasis on the symptoms and examination findings.

Treatment of Trichiasis

  • Removal of eyelashes

In people with trichiasis, an eye doctor can remove the eyelashes with forceps. If eyelashes grow back, other methods can be used to remove them, such as electrolysis (use of heat and electrical current to destroy the hair follicle) or cryosurgery (use of extreme cold to destroy the hair follicle).

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Eye Redness
Eye redness is a condition in which the part of the eye that is normally white appears reddish. This occurs when blood vessels on the surface of the eye widen (dilate), bringing extra blood to the eye. Which of the following is NOT a frequent cause of eye redness? 
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