Treatment for trichiasis through a combination of eyelash trephination and electrocautery

Abstract

. Purpose: This article introduces 3‐mm‐deep eyelash trephination combined with electrocautery as a way to increase the success rate for treatment for trichiasis. Method: We have modified surgical instruments, ready‐made ophthalmic microtrephine and cautery tip for a 3‐mm‐deep eyelash trephination and electrocautery. After eyelash trephination with microtrephine, electrocautery was added with a bended cautery tip after embedding in the trephination site. The trephined eyelids were photographed biweekly and checked for recurrence until 8 weeks after operation. Result: Eyelash trephination combined with electrocautery was carried out on 20 Korean patients. The number of removed cilia was 109. Of these, the number of successfully removed hair follicles was 89. During 8 weeks, the total recurring rate of eyelash trephination combined with electorcautery was 17%. In the case of hair follicle removal success with electrocautery, the recurring rate was as low as 11%, but in the case of hair follicle removal failure with electrocautery, recurring rate is 45%. We checked the depth of removed eyelash follicles, and the mean depth was 2.03 ± 0.085 mm in this study. No serious complication was found during the period of this study. Conclusion: The eyelash trephination combined with electrocautery for trichiasis is a method with a low recurrence rate and few complications.

The Effect of 0.02% Mitomycin C Injection into the Hair Follicle with Radiofrequency Ablation in Trichiasis Patients

“…However, repeated radiofrequency treatment is difficult to carry out due to high cost, pain, and other problems that influence the compliance of patients in actual clinical settings. In a recent study on eyelash trephination combined with electrocautery, the success rate was 83% [8], aligning with the success rate (83.6%) of the present study using the simpler additional injection of mitomycin C. In addition, this treatment is anticipated to be effective in reducing postoperative complications that occur due to eyelid injury after radiofrequency treatment.…”

“…The success rate was reported to be 60% to 67% in a single session of radiofrequency ablation [3,7]. According to a study by Han and Doh [8], the success rate of follicle trephination combined with electrocautery was 83%. Sakarya et al [9] reported success rates of 66.6% in a single session of electrocautery using an ultrafine needle and 100% with two to three sessions.…”

“…However, the incidence of complications generated by cryotherapy has been reported at 26% [8,10-14]. …”

Treatment and long‐term follow‐up of distichiasis, with special reference to the Friesian horse: A case series

“…In horses only cryotherapy and partial tarsal plate excision have been previously described . Cryotherapy and electroepilation are preferred techniques in other species, because these techniques cause less damage to the surrounding structures . In this study, electrocautery was chosen as the treatment modality with a success rate of 50% in other species .…”

Behandlung der Trichiasis und Distichiasis mit Biopsiestanzen - eine effektive und praxisnahe Methode zur Wimpernbalgexzision

“…Chirurgische Maßnahmen zur Behandlung dieser Zustände wurden bereits beschrieben, z. B. die Laserkoagulation [6][7][8], Kryotherapie [9], Bestrahlung [10], die Benutzung eines Trepans [11], sowie lidchirurgische Prozeduren mit der Präparation der Wimpernstrukturen mit anschließender Exzision der Follikel [12,13] und schließlich Kombinationen aus den verschiedenen Behandlungen [14][15][16][17]. Wir stellen einen neuen Ansatz dar, welcher es dem Chirurgen erlaubt, den Wimpernapparat in-…”