An ingrown eyelash, medically known as trichiasis, can cause significant discomfort when an eyelash grows in the wrong direction, typically inward toward the eye. This misdirected growth can lead to irritation as the lash scrapes against the delicate surface of the eye. Understanding how to manage this common issue is important for alleviating pain and preventing further complications.
Understanding Ingrown Eyelashes
Trichiasis occurs when an eyelash grows inward towards the eye, potentially touching the eyeball. This can happen on either the upper or lower eyelid. Common causes include blepharitis, a chronic eyelid inflammation that alters lash growth. Trauma or injury to the eyelid, such as from surgery or an accident, can also cause scar tissue that redirects lash growth.
Entropion, a condition where the eyelid folds inward, can force eyelashes against the eye. Aging can also contribute to trichiasis due to weakening muscles and skin laxity around the eye, changing lash growth direction. Individuals often experience a foreign object sensation, along with redness, watery eyes, and light sensitivity. Pain and blurry vision may also occur, indicating potential irritation or damage to the eye’s surface.
Safe Home Care
Addressing an ingrown eyelash at home focuses on alleviating symptoms and maintaining eye hygiene. Applying a warm compress can help soften the eyelid skin and potentially encourage the lash to move away from the eye. To do this, soak a clean cloth in warm water and place it gently over the affected eye for about 5 to 10 minutes. This can also help soothe irritation and reduce inflammation.
Gentle cleaning of the eyelid margin is beneficial, especially if blepharitis is a contributing factor. Use a mild, diluted solution, such as baby shampoo mixed with warm water, to carefully clean the base of the eyelashes. Lubricating eye drops or artificial tears can provide relief by protecting the eye’s surface from constant rubbing and reducing dryness and irritation. Avoid rubbing the eye excessively, as this can worsen irritation or potentially scratch the cornea. Never attempt to pluck an ingrown eyelash yourself without proper sterile tools and magnification, as this can lead to infection or further injury.
When Professional Help is Needed
Seeking professional medical attention is advisable if home care measures do not relieve symptoms or if the condition persists. Signs that warrant a visit to an eye care professional include persistent irritation, increased pain, noticeable swelling, or any changes in vision. The presence of pus or significant discharge from the eye could indicate an infection, requiring prompt medical evaluation. Recurrent ingrown eyelashes also suggest a need for professional assessment, as there might be an underlying cause that requires specific treatment.
Optometrists and ophthalmologists are eye care specialists who can diagnose and treat trichiasis. They can accurately identify the misdirected lash and assess any damage to the eye’s surface, such as a corneal abrasion. Common professional interventions include epilation, which involves plucking the offending lash with specialized forceps under sterile conditions. While epilation offers immediate relief, the eyelash typically regrows within about four to six weeks, often in the same incorrect direction. For more permanent solutions, electrolysis (using electric current), cryosurgery (freezing), or laser treatment (targeting and destroying the follicle) may be considered to prevent regrowth.
Preventing Recurrence
Consistent eye care practices can minimize future ingrown eyelashes, especially for those with repeated occurrences. Maintaining good eyelid hygiene is important, particularly if blepharitis is present. Regular, gentle cleaning of the eyelid margins helps prevent inflammation and keeps hair follicles clear. Managing any underlying chronic conditions affecting the eyelids can also reduce recurrence.
Avoid excessive eye rubbing, as mechanical irritation can disrupt lash growth and potentially lead to misdirection. For those who wear eye makeup, ensure its complete removal before sleeping to prevent follicle blockage and irritation. These measures contribute to overall eye health and help reduce ingrown eyelashes.