Disorders of the Lashes Flashcards
an acquired misdirection of the eyelashes
TRICHIASIS
method used for treating trichiasis is usually dictated by what?
PATTERN of the misdirected lashes and QUALITY of the posterior lamella of the involved eyelid.
3 Complications of Trichiasis
Mnemonic: PIC
Pannus (growth of fine blood vessels onto the clear corneal surface)
Inferior punctate epitheliopathy
Corneal Ulceration
4 Treatment of Trichiasis
Mnemonics: CASM
- Mechanical epilation
- Standard electrolysis or radiofrequency ablation
- Cryotherapy
- Argon laser treatment of trichiasis
removing misdirected lashes with forceps at the slit lamp
MECHANICAL EPILATION
eyelash regrowth with mechanical epilation can be expected how many weeks post epilation?
3-8weeks
used for definitive treatment of trichiasis
Radiofrequency Ablation
insulated needle
Radiofrequency ablation
recurrence rate is high
Radiofreq Ablation
2 complications of Radiofrequency ablation
ADJACENT normal lashes may be damaged and
scarring of the ADJACENT eyelid margin tissue can worsen the problem
requires only local infiltrative anesthesia
cryotherapy
double freeze-thaw technique
cryotherapy
4 Disadvantages of Cryotherapy
PLEN
Possible interference with goblet cell function (decrease mucin production in tear film)
Loss of skin pigmentation
Edema lasting several days
Notching of the eyelid margin
technique thats sensitive to hair color
Argon Laser Treatment
treatment useful when ONLY A FEW SCATTERED eyelashes require ablation
Argon Laser Treatment