Web report Last updated: 26 Apr 2018 Author: Indigenous eye health measures 2017 is an online presentation of the latest Indigenous eye health data. [aihw.gov.au]

Chapter 12 Trichiasis First published: 20 May 2015 Summary This chapter presents the diagnosis and treatment for trichiasis that is commonly found in Cocker Spaniel, Shih Tzu, Pug, and Miniature Poodle. [onlinelibrary.wiley.com]

SIGNS • Misdirected eyelash(s) • Conjuctival congestion • Lacrimation • Reflex blephrospasm • Signs of causative disease viz:trachoma,blephritis may be present 5 6. [de.slideshare.net]

In trichiasis, none of the above conditions are present, and 1 or more eyelashes are misdirected toward the eye. If trichiasis exists, a child’s eye can be irritated. This can cause tearing, avoidance of light, pain and discharge. [texaschildrens.org]

Epilation Rajak 2011a presents a complete data set with high rates of follow‐up. Lid taping Graz 1999 presents a complete data set with high rates of follow‐up. Antibiotic treatment Burton 2005a presents a complete data set with high follow‐up. [cochranelibrary.com]

• Fracture

  Surgical techniques include eyelid wedge resection, horizontal blepharotomy, tarsal fracturing and eyelid splitting. 15 Surgical or radiosurgical splitting of the lid margin allows for direct access to the lash follicles, which can then be efficiently [reviewofophthalmology.com]

• Blepharitis

  Commonly seen in cicatrical pemphigoid, trachoma, chronic blepharitis, Stevens-Johnson syndrome and alkaline burn. Treatment includes epilation, electrolysis, laser thermoablation, cryotherapy, and resection of the lash follicles. [columbiaeye.org]

  However, a very common cause of trichiasis is blepharitis. Blepharitis causes infection and inflammation of the eyelids and eyelid margin. When this occurs, the hair follicles can become misdirected and cause trichiasis. [verywellhealth.com]

  Aberrant eyelashes emerge from the tarsus as a result of chronic inflammatory conditions of the eyelids and conjunctiva such as trachoma, ocular cicatricial pemphigoid, Stevens-Johnson syndrome, chronic blepharitis, or chemical burns. [aao.org]

  Entropion ) Metaplasia of Meibomian glands leading to abnormal growth of lashes is usually secondary to severe chemical burn, Stevens-Johnson syndrome, ocular cicatricial pemphigoid, or chronic blepharoconjunctivitis Predisposing factors Staphylococcal blepharitis [college-optometrists.org]

• Foreign Body Sensation

  SYMPTOMS •Foreign body sensation •Photophobia •Irritation •Pain •Lacrimation 4 5. SIGNS • Misdirected eyelash(s) • Conjuctival congestion • Lacrimation • Reflex blephrospasm • Signs of causative disease viz:trachoma,blephritis may be present 5 6. [de.slideshare.net]

  It can be asymptomatic or cause pain, foreign body sensation, red eye, tearing, and corneal scratches leading to infection and scarring. What are the causes? In children is it often due to the lashes changing with age, and it often is temporary. [aapos.org]

  The misdirected eyelashes from chronic trichiasis can produce symptoms like redness, irritation, foreign body sensation, and tearing. [edow.com]

• Eye Irritation

  Symptoms of trichiasis include: Constant eye irritation Eye pain, redness and/or irritation Excessive or abnormal tearing Excessive sensitivity to light Treatment for trichiasis Treatment for trichiasis depends on the number of eyelashes affecting the [hopkinsmedicine.org]

  Eyelashes that brush up against your cornea -- the clear, front part of your eye -- for a long time could cause eye irritation or a more serious condition on the surface of your eye. That can lead to infection and scarring. [webmd.com]

  Because eyelashes are often very coarse, trichiasis can feel like a needle poking into your eye and that often causes pain and irritation—but it can also cause damage to your eye if not resolved. [verywellhealth.com]

• Excessive Tearing

  This will result in eye pain ranging from mild to moderate, redness and excessive tearing. What causes trichiasis? Aging is the most common cause of trichiasis, since the skin loses its elasticity with age. [optom.on.ca]

• Conjunctival Disease

  Once entropion and other eyelid and conjunctival disease has been excluded, the aberrant lashes may either be epilated (removed), giving temporary relief for several weeks, or treated more permanently by electrical treatment to the roots of the lashes [esoprs.eu]

  Once an entropion and other eyelid and conjunctival diseases have been excluded, the aberrant lashes may either be epilated (pulled out), giving temporary relief for several weeks, or treated more permanently by electrical treatment to the roots of the [bopss.co.uk]

The treatment of entropion is not addressed in this article. Rather, we will discuss the treatment of trichiasis in well-positioned eyelid margins, or in lids after entropion correction. [reviewofophthalmology.com]

Treatment of trichiasis using an 810-nm diode laser: an efficacy study. Ophthal Plast Reconstr Surg. 2006 Nov-Dec;22(6):445-7. 8. Moore J, De Silva SR, O'Hare K, Humphry RC. Ruby laser for the treatment of trichiasis. [reviewofoptometry.com]

We audited for effective treatment (relief of symptoms which allowed patient discharge), appropriate treatment (≤ 3 epilations before treatment review, 1–5 aberrant lashes electrolysed, >5 aberrant lashes treated by cryotherapy, all patients with lid [dovepress.com]

None of these treatments are 100% effective. In some cases, the treatment will need to be repeated. [texaschildrens.org]

What is involved in trichiasis treatment? Trichiasis treatment seeks to remove the hair follicles of the abnormal eyelashes. Although trichiasis treatment appears simple, no technique is completely effective. [barraquer.com]

The primary etiology of trichiasis involves aging changes to the lids and lid margins, but scarring of the lid (from trauma, infection or inflammation) can also induce this condition. [reviewofoptometry.com]

[…] trichiasis and anecdotal reports of functional limitations, trichiasis may lead to measurable limitations prior to visual acuity loss and, in combination with visual acuity loss, be associated with greater limitations than low vision associated with other etiologies [jamanetwork.com]

West SKMunoz BTurner VMMmbaga BBTaylor HR The epidemiology of trachoma in central Tanzania. Int J Epidemiol. 1991;201088- 1092 Google Scholar Crossref 10. [jamanetwork.com]

Epidemiology The most recent World Health Organization (WHO) estimates suggest that about 40 million people have active trachoma and about 8.2 million have trichiasis ( Mariotti 2009 ). [cochranelibrary.com]

If this does not alleviate the discomfort, however, a minor surgery can be performed to correct entropion, preventing the eyelid from folding under. [edow.com]

Doxycycline prevents matrix remodeling and contraction by trichiasis-derived conjunctival fibroblasts. Invest Ophthalmol Vis Sci. 2013 Jul 12. 54(7):4675-82. [Medline]. [Full Text]. [emedicine.medscape.com]

Epilation was less effective at preventing eyelashes from touching the globe than surgery for mild trichiasis, but had comparable results for vision and corneal change. [cochrane.org]