Trichiasis: Common and Treatable

TrichiasisTrichiasis is a common eyelid abnormality in which the eyelashes are misdirected and grow inwards toward the eye. Those inward-turning lashes rub against the cornea, the clear, dome-like window covering the colored iris and the pupil, the conjunctiva, the thin, clear membrane covering the sclera, which is the white part of the eye, and the inner surface of the eyelids, irritating the eye. If you have trichiasis, your eye may feel irritated by the sensation of having something in your eye. Other symptoms include redness, tearing, and sensitivity to bright light. Eyelashes that have been rubbing against the cornea for a long time can cause a corneal abrasion or even a corneal ulcer. Michael Neimkin, M.D. at the Ophthalmic Plastic and Cosmetic Surgery Center in Atlanta, GA, urges patients to act as soon as irritation occurs.


Trichiasis treatment involves removing the eyelash, follicle or both, or redirecting eyelash growth. If the trichiasis is limited to a single eyelash or just a few eyelashes, Dr. Neimkin may remove the problem-causing lash with forceps. While this eliminates the immediate problem, there is a chance the eyelash may grow back again in the wrong direction. In cases where multiple lashes are growing toward the eye, Dr. Neimkin may recommend surgery to have them removed permanently.

Surgical Treatments

Ablation: Uses radio frequencies or lasers to remove the lashes and hair follicles from which they grow. During this outpatient procedure, the eye is numbed.

Electrolysis: A process that uses electricity to permanently remove hair. While effective, electrolysis is time-consuming and can be painful.

Cryosurgery: The lashes and follicles are removed by freezing. Cryosurgery is effective but has the potential for many complications.

In some cases, such as trichiasis resulting from epiblepharon, Dr. Neimkin may recommend surgery to reposition the eyelashes to correct the anatomical cause of the problem.

Each patient is unique; therefore, results will vary.

To learn more about Trichiasis, complete our contact form to schedule a consultation with Dr. Neimkin. At the Ophthalmic Plastic and Cosmetic Surgery Center, Dr. Neimkin and the staff take pride in only offering patients the highest level of care in a family-like environment. Our office serves patients in the metro Atlanta area including the surrounding communities of Sandy Springs, Buckhead, Dunwoody and Roswell.

We look forward to helping you soon!