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Eyelids

Disorders of the Lashes

  • Trichiasis:             The misdirection of lashes.
  • Distichiasis:         The presence of a second row of lashes.
  • Madarosis:          A decrease in number, or a complete loss of lashes.
  • Hypertrichosis:  Excess number of lashes.

Treatments differ in each case and include:

  1. Epilation (removal of lashes with forceps – temporary, as they grow back in 4-6 weeks).
  2. Electrolysis (an electrocautery needle inserted into the hair shaft and a current is applied – multiple treatments are required).
  3. Cryotherapy (the application of very low temperatures to disable the follicle).

Blepharitis

  • This condition is dealt with in detail elsewhere on this website.
  • Blepharitis refers to inflammation of the eyelids, particularly at the lid margins.  It is a common disorder and may be associated with a low-grade bacterial infection or a generalized skin condition.

Mass Lesions of the Eyelids

  • Chalazion
  • Cause:                  Blockage of a Meibomian gland at the lid margin.
  • Symptoms:         Painless, round firm lesion.
  • Treatment:         Surgical drainage or intra-lesional injection of medication in chronic cases.
  • Hordeolum (Stye)
  • Cause:                  Bacterial infection of the Meibomian gland.
  • Symptoms:         Painful and tender, the lesion may enlarge and the discharge spontaneously.
  • Treatment:         Hot compresses and possible incision and curettage if lesion doesn’t discharge on its own, or if a nodule remains after discharge.