Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique

Summary:. Trichiasis is an acquired condition in which eyelashes are misdirected toward the ocular surface, resulting in eye irritation and ocular morbidities. Different treatment modalities have been described, including surgical and non-surgical methods. The goal of this article is to present a no...

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Main Authors: Sacit Karademir, MD, Galip Agaoglu, MD
Format: Article
Language:English
Published: Wolters Kluwer 2021-03-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003480
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author Sacit Karademir, MD
Galip Agaoglu, MD
author_facet Sacit Karademir, MD
Galip Agaoglu, MD
author_sort Sacit Karademir, MD
collection DOAJ
description Summary:. Trichiasis is an acquired condition in which eyelashes are misdirected toward the ocular surface, resulting in eye irritation and ocular morbidities. Different treatment modalities have been described, including surgical and non-surgical methods. The goal of this article is to present a novel technique for treatment of trichiasis, with a brief review of treatment options. Through a supratarsal incision, each misdirected eyelash follicle root was reached and freed from surrounding tissues by meticulous dissection. Then, hair shafts on the lid margin were redirected upward and glued to 2 bars extending horizontally across the upper eyelid. Two years after operation, the corrected eyelashes maintained their normal upward direction. To the best of our knowledge, this is the first reported case of chronic trichiasis treated by this technique. The main advantage of the technique, unlike most of the other treatment methods, is that follicles of the affected eyelashes are not removed or destroyed, which is appreciated from the aesthetic point of view, especially in female patients. We believe that any plastic surgeon with basic knowledge of blepharoplasty and hair transplantation can perform this technique without much difficulty. So far, there is no recurrence; however, long-term follow-up with a large series of patients is required for drawing better conclusions.
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spelling doaj.art-a0f7b9097ec34012a1131b986d2c5d572022-12-21T18:46:45ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-03-0193e348010.1097/GOX.0000000000003480202103000-00036Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New TechniqueSacit Karademir, MD0Galip Agaoglu, MD1From Department of Plastic Reconstructive and Aesthetic Surgery, Koç University, Istanbul, Turkey.From Department of Plastic Reconstructive and Aesthetic Surgery, Koç University, Istanbul, Turkey.Summary:. Trichiasis is an acquired condition in which eyelashes are misdirected toward the ocular surface, resulting in eye irritation and ocular morbidities. Different treatment modalities have been described, including surgical and non-surgical methods. The goal of this article is to present a novel technique for treatment of trichiasis, with a brief review of treatment options. Through a supratarsal incision, each misdirected eyelash follicle root was reached and freed from surrounding tissues by meticulous dissection. Then, hair shafts on the lid margin were redirected upward and glued to 2 bars extending horizontally across the upper eyelid. Two years after operation, the corrected eyelashes maintained their normal upward direction. To the best of our knowledge, this is the first reported case of chronic trichiasis treated by this technique. The main advantage of the technique, unlike most of the other treatment methods, is that follicles of the affected eyelashes are not removed or destroyed, which is appreciated from the aesthetic point of view, especially in female patients. We believe that any plastic surgeon with basic knowledge of blepharoplasty and hair transplantation can perform this technique without much difficulty. So far, there is no recurrence; however, long-term follow-up with a large series of patients is required for drawing better conclusions.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003480
spellingShingle Sacit Karademir, MD
Galip Agaoglu, MD
Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
Plastic and Reconstructive Surgery, Global Open
title Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
title_full Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
title_fullStr Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
title_full_unstemmed Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
title_short Treatment of Trichiasis by Releasing Follicle Roots of Eyelashes: A New Technique
title_sort treatment of trichiasis by releasing follicle roots of eyelashes a new technique
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003480
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AT galipagaoglumd treatmentoftrichiasisbyreleasingfolliclerootsofeyelashesanewtechnique