Surgical treatment for trichiasis caused by eyelid aging

VernacularTitle:眼睑老化引起倒睫的手术治疗
Author: Xifei QIAN ¹ ; Jingyi TU ; Jue HOU ; Chongxiang FAN ; Yirui PAN ; Haiyan SHEN ; Qinyuan ZHAO ; Jufang ZHANG
Author Information

1. 浙江中医药大学第四临床医学院，杭州　310000
Publication Type:Journal Article
Keywords: Trichiasis; Palpebral ageing; Entropion; Loose upper eyelids; Upper eyelid ptosis
From: Chinese Journal of Plastic Surgery 2025;41(5):524-528
CountryChina
Language:Chinese
Abstract: Senile trichiasis is primarily manifested by eyelid laxity, decreased horizontal elasticity and tension of the eyelids, leading to friction between the eyelashes and the cornea, which subsequently causes corneal damage and vision decline. Surgical intervention remains the most effective therapeutic approach for senile trichiasis. This article elaborates on the epidemiological characteristics, pathological mechanisms, and clinical manifestations of senile trichiasis and systematically reviews the surgical treatment method for upper and lower eyelid trichiasis, including traditional surgical techniques and emerging minimally invasive procedures combined with personalized therapies. Through a literature review, the effectiveness and recurrence rates of surgical treatment are summarized, emphasizing the importance of preoperative assessment and individualized treatment. Additionally, strategies and recommendations for preventing senile trichiasis are proposed.