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Management of Trichiasis

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Plastic Surgery of the Lower Eyelids

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Abstract

Trichiasis, the abnormal inward rotation of the eyelashes, is a pathologic condition that commonly causes eye irritation. The treatment includes epilation, electrosurgical or thermal follicle destruction, and surgical resection, depending on the extent of the disease. This chapter highlights the evaluation and management of trichiasis.

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References

  1. Mousa A, Courtright P, Kazanjian A, Bassett K. A community-based eye care intervention in southern Egypt: impact on trachomatous trichiasis surgical coverage. Middle East Afr J Ophthalmol. 2015;22(4):478–483.

    Google Scholar 

  2. Basar E, Ozdemir H, Ozkan S, et al. Treatment of trichiasis with argon laser. Eur J Opthalmol. 2000;10:273–5.

    Article  CAS  Google Scholar 

  3. Salour H, Rafati N, Falahi MR, Aletaha M. A comparison of argon laser and radiofrequency in trichiasis treatment. Ophthal Plast Reconstr Surg. 2011;27(5):313–6.

    Article  PubMed  Google Scholar 

  4. Kapantais D, Garrott H, Ford R. Electrolysis outcomes for eyelid trichiasis: Consultants versus trainees. J Fr Ophtalmol. 2022;45(3):298–305.

    Article  CAS  PubMed  Google Scholar 

  5. Chi MJ, Park MS, Nam DH, Moon HS, Baek SH. Eyelid splitting with follicular extirpation using a monopolar cautery for the treatment of trichiasis and distichiasis. Graefes Arch Clin Exp Ophthalmol. 2007;245(5):637–40.

    Article  PubMed  Google Scholar 

  6. West ES, Munoz B, Imeru A, Alemayehu W, Melese M, West SK. The association between epilation and corneal opacity among eyes with trachomatous trichiasis. Br J Ophthalmol. 2006;90:171–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Varajini J, Ophth FRC, Norris FEBO, Ophth JHFRC. (Oxon) Periocular manifestations of afatinib therapy. Ophthalmic Plastic and Reconstruct Surgery 2019;35(1):e12–e13.

    Google Scholar 

  8. Lewallen, Courtright P. Anatomical factors influencing development of trichiasis and entropion in trachoma. British J Ophthalmol 1991;75:713–714.

    Google Scholar 

  9. Ferreira IS, Bernardes TF, Bonfioli AA. Trichiasis. Semin Ophthalmol. 2010;25(3):66–71.

    Article  PubMed  Google Scholar 

  10. Ferraz LC, Meneghim RL, Galindo-Ferreiro A, Wanzeler AC, Saruwatari MM, Satto LH, et al. Outcomes of two surgical techniques for major trichiasis treatment. Orbit. 2018;37(1):36–40.

    Article  PubMed  Google Scholar 

  11. Kanski JJ, Bowling B. Clinical ophthalmology: a systematic approach. 7th ed. Elsevier; 2012.

    Google Scholar 

  12. Kormann RB, Moreira H. Treatment of trichiasis with high-frequency radio wave electrosurgery. Arq Bras Oftalmol. 2007;70(2):276–80.

    Article  PubMed  Google Scholar 

  13. Hirai FE, Shiguematsu AI, Schellini SA, Padovani CR. [Surgical treatment of major trichiasis] Rev Bras Oftalmol. 1998;74(4):357–61.

    Google Scholar 

  14. Gower EW, West SK, Harding JC, et al. Trachomatous trichiasis clamp versus standard bilamellar tarsal rotation instrumentation for trichiasis surgery: results of a randomized clinical trial. JAMA Ophthalmol. 2013;131:294–301.

    Article  PubMed  Google Scholar 

  15. Habtamu E, Wondie T, Aweke S, et al. Predictors of trachomatous trichiasis surgery outcome. Ophthalmology. 2017;124(8):1143–55.

    Article  PubMed  Google Scholar 

  16. Gower EW, West SK, Cassard SD, Munoz BE, Harding JC, et al. Definitions and standardization of a new grading scheme for eyelid contour abnormalities after trichiasis surgery. PLoS Negl Trop Dis. 2012;6(6): e1713.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Kirkwood BJ, Kirkwood RA. Trichiasis: characteristics and management options. Insight. 2011;36(2):5–9.

    PubMed  Google Scholar 

  18. Habtamu E, Rajak SN, Tadesse Z, Wondie T, Zerihun M, Guadie B, et al. Epilation for minor trachomatous trichiasis: four-year results of a randomised controlled trial. PLoS Negl Trop Dis. 2015;9(3): e0003558.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Talero SL, Munoz B, West SK. Potential effect of epilation on the outcome of surgery for trachomatous trichiasis. Trans Vis Sci Tech. 2019;8(4):30.

    Article  Google Scholar 

  20. Scofield-Kaplan SM, Dunbar KE, Campbell AA, Kazim M. Utility of PROSE device in the management of complex oculoplastic pathology. Ophthalmic Plastic and Reconstruct Surgery. 2018;34(3):242–245.

    Google Scholar 

  21. Majekodunmi S. Cryosurgery in treatment of trichiasis. Br J Ophthalmol. 1982;66:337–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Khafagy A, Mostafa MM, Fooshan F. Management of trichiasis with lid margin split and cryotherapy. Clin Ophthalmol. 2012;6:1815–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Hartzler J, Neldner KH, Forstot SL. X-ray epilation for the treatment of trichiasis. Arch Dermatol. 1984;120(5):620–4.

    Article  CAS  PubMed  Google Scholar 

  24. Kim GN, Yoo WS, Kim SJ, Han YS, Chung IY, Park JM, Yoo JM, Seo SW. The effect of 0.02% mitomycin C injection into the hair follicle with radiofrequency ablation in trichiasis patients. Korean J Ophthalmol. 2014;28(1):12–8.

    Google Scholar 

  25. Al-Bdour MD, Al-Till MI. Argon laser: a modality of treatment for trichiasis. Int J Biomed Sci. 2007;3(1):56–9.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Huneke, JW. Argon laser treatment for trichiasis. Ophthalmic Plastic Reconstruct Surgery 1992;8(1):50–55.

    Google Scholar 

  27. Bezerra RG, de Sousa Meneghim RLF, Padovani CR, Schellini SA. Diode green laser in the lid trichiasis treatment. J Ophthalmic Vis Res. 2021;16:320–4.

    PubMed  PubMed Central  Google Scholar 

  28. Pham RT, Biesman BS, Silkiss RZ. Treatment of trichiasis using an 810-nm diode laser: an efficacy study. Ophthalmic Plast Reconstr Surg. 2006;22(6):445–7.

    Google Scholar 

  29. Yung, Chi-Wah, MD, Massicotte, SJ, Kuwabara Toichiro, MD. Argon laser treatment of trichiasis. Ophthalmic Plastic Reconstruct Surgery 1994;10(2):130–136.

    Google Scholar 

  30. McCracken MS, Kikkawa DO, Vasani SN. Treatment of trichiasis and distichiasis by eyelash trephination. Ophthal Plast Reconstr Surg. 2006;22:349–51.

    Article  PubMed  Google Scholar 

  31. Han J-H, Doh S-H. Treatment for trichiasis through a combination of eyelash trephination and electrocautery. Acta Ophthalmol. 2012;90:e211–3.

    Article  PubMed  Google Scholar 

  32. Merbs SL, Harding JC, Cassard SD, Munoz BE, West SK, et al. Relationship between immediate post-operative appearance and 6-week operative outcome in trichiasis surgery. PLoS Negl Trop Dis 2012;6(7): e1718.

    Google Scholar 

  33. Zhang H, Kandel RP, Atakari HK, Dean D. Impact of oral azithromycin on recurrence of trachomatous trichiasis in Nepal over 1 year. Br J Ophthalmol. 2006;90:943–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Abdelaziz et al. Anterior lamellar recession versus posterior lamellar tarsal rotation for lower lid trachomatous trichiasis: a randomized controlled trial. Clinical Ophthalmol 2020;14:2043–2050.

    Google Scholar 

  35. Merbs, et al. A new surgical technique for post-operative trachomatous trichiasis. Ophthalmic Plast Reconstr Surg. 2021;37(6):595–8.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Karademir S, Agaoglu G. Treatment of trichiasis by releasing follicle roots of eyelashes: a new technique. Plast Reconstr Surg Glob Open. 2021;9(3): e3480.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Kempen JH, Tekle-Haimanot R, Hunduma L, Alemayehu M, Pistilli M, Abashawl A, Lawrence SD, Alemayehu W. Fluorometholone 0.1% as ancillary therapy for trachomatous trichiasis surgery: Randomized clinical trial. Am J Ophthalmol. 2019;197:145–155.

    Google Scholar 

  38. Hoffman JJ, Habtamu E, Rono H, Tadesse Z, Wondie T, Minas T, et al. 3D images as a field grader training tool for trachomatous trichiasis: a diagnostic accuracy study in Ethiopia. PLoS Negl Trop Dis. 2019;13(1): e0007104.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Li H, Ezra DG, Burton MJ, Bailly M. Doxycycline prevents matrix remodeling and contraction by trichiasis-derived conjunctival fibroblasts. Invest Ophthalmol Vis Sci. 2013;54(7):4675–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Derrick T, Luthert PJ, Jama H, Hu VH, Massae P, Essex D, et al. Increased epithelial expression of CTGF and S100A7 with elevated subepithelial expression of IL-1β in trachomatous trichiasis. PLoS Negl Trop Dis. 2016;10(6): e0004752.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Atik B, Skwor TA, Kandel, RP, Sharma B, Adhikari HK, et al. Identification of novel single nucleotide polymorphisms in inflammatory genes as risk factors associated with trachomatous trichiasis. PLoS ONE. 2008;3(10):e3600.

    Google Scholar 

  42. Van Millingen E. The tarsocheiloplastic operation for the cure of trichiasis. Ophthal Rev. 1887;6:309–14.

    Google Scholar 

  43. Binotti WW, et al. A novel interlamellar oral mucosa graft surgery technique using fibrin glue for the treatment of trichiasis. Arq Bras Oftalmol. 2022—Ahead of Print.

    Google Scholar 

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Disclosures

Don O Kikkawa and Bobby S. Korn are former consultants for Horizon Therapeutics and receive book royalties from Elsevier Publishing. Catherine Y. Liu is a site principal investigator for a Horizon Therapeutics-sponsored clinical trial and receives royalties from Wolter Kluwers Health.

Funding

No financial interest.

Author information

Authors and Affiliations

  1. Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt

    Mahmoud M. Abouelatta

  2. Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, La Jolla, 9415 Campus Point Dr, La Jolla, CA, 92093, USA

    Mahmoud M. Abouelatta, Catherine Y. Liu, Bobby S. Korn & Don O. Kikkawa

Authors
  1. Mahmoud M. Abouelatta
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  2. Catherine Y. Liu
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  3. Bobby S. Korn
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  4. Don O. Kikkawa
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Corresponding author

Correspondence to Don O. Kikkawa .

Editor information

Editors and Affiliations

  1. Gavin Herbert Eye Institute, University of California, Irvine, Irvine, CA, USA

    Jeremiah P. Tao

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Abouelatta, M.M., Liu, C.Y., Korn, B.S., Kikkawa, D.O. (2023). Management of Trichiasis. In: Tao, J.P. (eds) Plastic Surgery of the Lower Eyelids . Springer, Cham. https://doi.org/10.1007/978-3-031-36175-3_11

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  • DOI: https://doi.org/10.1007/978-3-031-36175-3_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-36174-6

  • Online ISBN: 978-3-031-36175-3

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