Double Eyelid Crease Surgery for Ingrown Eyelashes: A Case Report

Introduction: In order to filter particles and protect the eyes, eyelashes on the upper eyelids often grow upward. These eyelashes can occasionally grow downward, which can result in ocular discharge, conjunctival injection, and a feeling of a foreign body. Trichiasis is the medical word for this illness in ophthalmology. A minor form of cicatricial entropion is the main culprit. However, congenital disorders like Epi-blepharon are very frequently observed in Asian kids. Cryotherapy, eyelash epilation, elliptical excision for eliminating the surplus skin, soft tissue, and fat, after which the muscle fascia is attached to the tarsal to form double eye lid folds, are a few management techniques for this condition based on the causes.
Case presentation: A fifteen-year-old boy who had a problem with his upper eyelashes growing downward was brought to an outpatient clinic. They resulted in ocular drainage and irritation. Physical exam revealed no evidence of a traumatic occurrence. No conjunctival injection, no eye discharge, and no cicatrix on the upper eye lids are present in either eye, and both eyes have upper eyelashes that have grown down to the eyeballs. The general state is unimpressive. As a result, the incision technique was chosen to create the eye creases, with the primary goal being to raise the top eyelids and eyelashes.
Discussion & Conclusion: Local anesthesia was used throughout the surgery. In order to remove a small amount of skin, subcutaneous tissue, soft tissues, and slightly protruding fat, an oval incision was made. To produce double eyelids, the tarsal plates are joined to the muscular fascia. Incision method in creating double eyelids looked natural and it stays permanent.

Key words: Trichiasis, double eye lid creases, Epi-blepharon. .