Trichiasis is a common problem with the eyelids. Eyelashes grow inward. The lashes rub against the cornea, the conjunctiva, and the inner surface of the eyelids. This irritates the eye.

Trichiasis can occur occasionally with no known cause. Trichiasis can strike anyone, however, adults are more prone to it. Trichiasis is more likely to occur if you have certain health issues, including Epiblepharon. This is a congenital disorder. Loose skin around the eye forms a fold. This causes the lashes to assume a vertical position. This is mostly found in children of Asian ancestry, in Herpes zoster eye disease, traumatic injury to the eye, such as burns, and chronic blepharitis.

Trichiasis frequently manifests as an eye infection, inflammation (swelling) of the eyelid, autoimmune diseases, and trauma.  The edge of the lid, or trachoma, is covered in bacteria and oily particles. In developing countries, there is a severe eye infection like. Skin and mucous membrane problems are un-common.

One may experince a sensation of something being in the eye that irritates you. Tearing, redness, and sensitivity to strong light are some additional symptoms. Moreover, eyelashes that rub against the cornea for a long time can cause a corneal abrasion or even a corneal ulcer. 

Treatment for trichiasis entails removing the eyelash, the follicle, or both, or rerouting the growth of the eyelash.Sometimes only a few eyelashes are affected by trichiasis. Your ophthalmologist might just use forceps to remove them (tweezers). The eyelashes could possibly regrow in the wrong direction again.

Surgery can remove eyelashes permanently that are growing toward you eye.  Radiowaves or lasers are used in ablation surgery to eliminate hair and eyelash follicles. Prior to the outpatient operation, your ophthalmologist will anaesthetize your eye.

A surgical procedure using electrolysis may also be done. Electricity is used in this method to eliminate hair permanently. Electrolysis is time-consuming and occasionally uncomfortable, despite being successful.

Cryosurgery is when lashes and follices are removed by freezing them. Although effective, cryosurgery carries the potential for complications.

Your eye doctor might advise surgery to realign the eyelashes. This may be the situation if epiblepharon is the cause of your trichiasis.

At The Eye Center- Dr. Mahnaz Naveed Shah & Associates our team of eight ophthalmology subspecialists/ eye specialists, eye surgeons who are considered amongst the very best eye specialists in Karachi and in Pakistan, have the diagnostic and treatment capabilities to treat from the simplest to the most complex patients. We work hard to provide our patients with the best possible medical and surgical eye care, in a state of the art purpose built eye care facility. We offer the entire array of medical, laser and surgical treatments to help provide patients the best possible care in the most efficient, safe and ethical manner.

If you need an appointment, please contact us at 03041119544 during our working hours or leave us a WhatsApp message at +923028291799 and someone will connect with you. Walk-in appointments are also available for emergencies. We can also be reached through our web portal on

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