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Curbside Consultation in Neuro-Ophthalmology

Clinical Science

Eyelid Splitting and Extirpation of Hair Follicles Using a Radiosurgical Technique for Treatment of Trichiasis

Ophthalmic Surgery, Lasers and Imaging   Vol. 35   No. 2   March/April 2004
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Mordechai Rosner, MD; Nirit Bourla, MD and Nachum Rosen, MD

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BACKGROUND AND OBJECTIVE

To describe a new, simple, and rapid surgical modification for the treatment of trichiasis.

PATIENTS AND METHODS

In this noncomparative, prospective, interventional case series, 12 eyelids of 8 consecutive patients suffering from acquired trichiasis were treated by splitting the eyelid margin using a radiosurgical technique and then extirpating the hair follicles. The main outcome measure was successful resolution of trichiasis without recurrence during a follow-up period of at least 1 year.

RESULTS

Complete recovery of the trichiatic eyelashes at the site of the treatment occurred in 10 of the 12 eyelids treated. There were no complications during or after healing of the surgical wound during the follow-up period.

CONCLUSION

Radiosurgery provides a simple and rapid modification of the surgical treatment for acquired trichiasis, with good functional results.

[Ophthalmic Surg Lasers Imaging 2004;35:116-122.]

AUTHORS

From the Goldschleger Eye Institute, Sackler School of Medicine, Tel-Aviv University, Sheba Medical Center, Tel-Hashomer, Israel.

Accepted for publication January 12, 2004.

Address reprint requests to Mordechai Rosner, MD, Goldschleger Eye Research Institute, Sheba Medical Center, 52621 Tel-Hashomer, Israel.

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