The World Health Organization highlights the need for effective management of postoperative trichiasis (PTT) to help eliminate blinding trachoma, leading to the development of the Bevel-Rotation Advancement Procedure (B-RAP) for repeat surgery cases.
The B-RAP technique uses a beveled incision to reduce eyelid thickness, enabling better treatment of severely scarred eyelids and correcting eyelid contour abnormalities, which can complicate repeat surgeries.
In a study, B-RAP produced promising results, with 84% of eyelids showing no recurrence of PTT after 3-6 months, suggesting that the procedure may improve outcomes for patients needing follow-up trichiasis surgeries.