Can inverted eyelashes heal themselves?

When inverted eyelashes occur, people will feel very uncomfortable, and there is no suitable treatment at all. Especially for adults, it is quite troublesome and there is no way to heal itself. It is necessary to choose some treatment measures according to your own symptoms. Only in this way can your condition improve. Generally, electrolysis and laser treatment methods are required.

For small, localized trichiasis in adults without entropion, the following are commonly used treatments:

① Removal method: When the number of inverted eyelashes is small, you can directly use eyelash tweezers to remove them. It is simple and effective, but because the eyelash follicles are not destroyed, it is easy to relapse within a few weeks. The eyelashes that grow back will be thicker and harder, which will irritate the cornea. Therefore, plucking them is only done when conditions are poor and there is no other way, or when other methods have been tried and failed.

② Electrolysis: Electrolysis destroys hair follicles and removes them. Sometimes it takes repeated treatments to achieve the desired effect. The success rate is about 10-20%.

③ Cryotherapy: It can relieve many cases of ingrown trichiasis. Potential complications include: skin depigmentation, postoperative eyelid notch, damage to the meibomian glands and impact on tear film stability.

④ Laser treatment: Laser separation is effective for a small number of scattered trichiasis.

⑤ Surgical removal of hair follicles under direct microscope: The hair follicles can be removed under direct microscope. If there are many inverted eyelashes, wedge-shaped removal or anterior lamellar removal can be performed. It is effective for localized clustered inverted eyelashes that cannot be treated by other methods.

⑶ For patients with a large number of inverted eyelashes and entropion, the commonly used surgical methods are as follows:

① Upper eyelid buried suture method to correct entropion and inverted eyelashes: This method is suitable for young patients with thin upper eyelid skin, no looseness, not much subcutaneous fat, and no obvious epicanthus, and mild intropion and inverted eyelashes.

② The lower eyelid suture tube method is used to correct lower eyelid entropion and trichiasis: also known as the lower fornix skin suture technique, which is suitable for some congenital entropion, spasmodic entropion and degenerative entropion.

③ Skin orbicularis oculi muscle resection: It is suitable for inverted trichiasis with lower eyelid folds in adolescents and degenerative inverted trichiasis in some elderly people. It increases skin tension and strengthens tightness by resecting the skin near the eyelid margin, preventing the orbicularis oculi muscle from exceeding the eyelid margin, and sutures the incision with deep fixation method.

④ Orbicularis oculi muscle shortening surgery: suitable for degenerative entropion.

⑤ Hotz procedure: For eyelid entropion caused by scarring, the surgery involves the removal of part of the thickened tarsal plate to restore the position of the eyelid margin, relieve the inward pulling effect of the conjunctiva and tarsal plate, and correct the abnormal state of the tarsal plate.

⑥ Tarsode cutoff: It is suitable for cases with mild eyelid deformation and hypertrophy. The principle is to cut the tarsus from the subtarsal groove to relieve the traction of the scar and use sutures to restore the eyelid margin to its normal position.

⑦ Gray line eyelid incision: It is suitable for patients whose entropion degree is inconsistent across the entire eyelid or for those whose partial entropion cannot be completely corrected after other surgical procedures.