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Simple surgery for severe trichiasis.

Areeb H Moosavi1, Susan P Mollan, Antonella Berry-Brincat

  • 1Birmingham & Midland Eye Centre, City Hospital, Birmingham, West Midlands, United Kingdom.

Ophthalmic Plastic and Reconstructive Surgery
|August 2, 2007
PubMed
Summary
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This study presents a simple surgical method for severe trichiasis using anterior lamellar excision and secondary wound healing. The technique offers a promising, effective treatment with no observed recurrences.

Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Trichiasis, an inward turning of eyelashes, can cause severe ocular discomfort and damage.
  • Current treatments for severe trichiasis vary, with a need for effective and straightforward surgical options.

Purpose of the Study:

  • To detail a simple surgical technique for the definitive treatment of severe trichiasis.
  • To evaluate the efficacy of anterior lamellar excision combined with secondary wound healing for trichiasis management.

Main Methods:

  • A surgical technique involving anterior lamellar excision was performed on five patients with severe trichiasis.
  • Wounds were managed using the laissez-faire technique, allowing them to heal by secondary intention.

Main Results:

Related Experiment Videos

  • All patients achieved symptom relief following the surgical procedure.
  • A mean follow-up of 17 months revealed no instances of trichiasis recurrence.

    • Conclusions:

    • Secondary intention healing for periocular defects is an underutilized method.
    • The combined approach of anterior lamellar excision and laissez-faire healing demonstrates significant promise for treating trichiasis.