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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Management of trichiasis with lid margin split and cryotherapy
Amr Khafagy1, Mostafa Mahmoud Mostafa, Fathi Fooshan
1Department of Ophthalmology, Cairo University, Cairo, Egypt.
Clinical Ophthalmology (Auckland, N.Z.)
|November 28, 2012
Summary
Lid margin split with cryotherapy effectively treats trichiasis in 90% of cases. This safe procedure offers a promising option for managing this common eyelid condition.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Oculoplastics
Background:
- Trichiasis, an inward turning of the eyelid margin, causes significant ocular discomfort and potential vision impairment.
- Current treatments for trichiasis vary in efficacy and invasiveness.
Purpose of the Study:
- To assess the effectiveness and safety of a specific surgical approach for trichiasis treatment.
- To evaluate outcomes of lid margin split combined with cryotherapy applied to the anterior lid lamella.
Main Methods:
- A prospective study was conducted on 20 eyelids from 10 patients diagnosed with trichiasis.
- The treatment involved a lid margin split procedure followed by cryotherapy to the anterior lid lamella.
- Patients were monitored for a 6-month post-treatment period.
Main Results:
- The combined procedure achieved successful treatment in 18 out of 20 eyelids, representing a 90% success rate.
- Recurrence of trichiasis was observed in 2 eyelids (10%) within the 6-month follow-up period.
Conclusions:
- Lid margin split with cryotherapy demonstrates high efficacy in treating trichiasis.
- The procedure is considered a safe and effective therapeutic option for patients suffering from trichiasis.
