Congenital distichiasis is a rare eyelid anomaly usually running in a family with some systemic disorders. Isolated congenital distichiasis is very rare. A very rare case of sporadic congenital distichiasis with symmetrical four-lid involvement is reported here. Detailed ophthalmic and systemic examinations failed to reveal any other abnormality. Various modalities of surgical techniques are tried to treat this difficult condition. It was treated by eyelid splitting and double freeze-thaw cryotherapy with anterior lamellar recession but no thermocouple was used. This simple modified technique, ensured excellent functional and cosmetic result with no recurrence in a one year follow-up.
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Meibography-Guided Electroepilation for Congenital Distichiasis: A Novel Surgical Technique.
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Ophthalmic Plastic Surgery services, L V Prasad Eye Institute, Hyderabad, India.
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- Congenital distichiasis, characterized by an abnormal growth of eyelashes, can be treated through various methods including ablative procedures and surgical excision, with a new technique utilizing meibography to locate eyelash roots.
- In a study involving six patients, infrared meibography was used to guide electroepilation, allowing for more precise targeting of distichiatic eyelashes.
- Results showed a 75% anatomical success rate and an 87.5% functional success rate, suggesting that meibography is a valuable tool for improving treatment outcomes in congenital distichiasis.
Clinical Characteristics and Treatment of Ophthalmic Sequelae of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis at a Tertiary Eyecare Centre in Hungary.
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Dr. Rolf M. Schwiete Center for Limbal Stem Cell and Congenital Aniridia Research, Saarland University, Kirrberger Str. 100, 66424, Homburg, Saar, Germany.
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- * A majority of cases were linked to medications, with nonsteroidal anti-inflammatory drugs (NSAIDs) being the most common culprit, and many patients experienced chronic eye issues such as conjunctival hyperemia and corneal scarring.
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Keratoconus in two siblings with congenital distichiasis.
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Cataract and Refractive surgery services, LV Prasad Eye Institute, Hyderabad, India.
Purpose: To describe a previously unreported association of keratoconus in congenital distichiasis.
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Department of Molecular Pharmacology & Physiology, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.
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[Palpebral marginoplasty in the management of distichiasis: About 104 eyes].
J Fr Ophtalmol
January 2023
Faculté de médecine et de pharmacie, université Hassan II de Casablanca, Casablanca, Maroc; Service d'ophtalmologie adultes, hôpital 20 août 1953, CHU Ibn Rochd, 41, rue Belaabak B.P 2698, Casablanca 20120, Maroc.
Article Synopsis
- - Distichiasis is a rare eyelid condition where an extra row of eyelashes grows from the inner eyelid layer, which can lead to corneal complications. It may be congenital or more commonly acquired due to chronic inflammation.
- - A study examined 104 eyes (90 patients) who underwent surgery for this condition using a technique called marginoplasty with labial mucosal autograft between 2000 and 2021; most patients were around 65 years old.
- - The surgery was highly effective, with a success rate of 82.7% and more than 95% of cases showing reduced symptoms after an average follow-up of over 24 months; additional treatment options improved outcomes further, achieving a final success
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