Treatment of trichiasis and distichiasis by eyelash trephination.
OBJECTIVE
To describe the methods and results of a new technique of eyelash trephination for treatment of trichiasis and distichiasis.


METHODS
The medical records of all patients who underwent eyelash trephination by the authors to treat trichiasis or distichiasis were reviewed. Gender, diagnosis, number of eyelids treated, follow-up time, and surgical outcome were recorded. The technique involves boring of the affected lash follicle with a microtrephine, followed by removal of the follicle.


RESULTS
The procedure was performed on 41 eyelids of 26 patients (15 females and 11 males). Patients were followed for 6 to 51 months after surgery. No recurrence was observed in 16 patients (62%) during this period. There were no adverse effects of the therapy.


CONCLUSIONS
Eyelash trephination is a safe, quick, and effective method of treatment for trichiasis and distichiasis.
McCracken
Michael S
MS
Division of Ophthalmic Facial Plastic and Reconstructive Surgery, UCSD Department of Ophthalmology, La Jolla, California, USA. mmccracken@hotmail.com
Kikkawa
Don O
DO
Vasani
Sunil N
SN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005140:Eyelashes / Q000002:abnormalities*; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006201:Hair Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome