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Disorders of Lashes: 1. Trichiasis 2. Metaplastic Lashes 3. Distichiasis 4. Phthiriasis Palpebrarum 5. Madarosis

This document summarizes several disorders of the eyelashes including trichiasis, metaplastic lashes, distichiasis, phthiriasis palpebrarum, madarosis, and poliosis. Trichiasis involves the misdirection of normal lashes toward the eye which can cause punctate epitheliopathy and corneal issues. Metaplastic lashes arise from meibomian gland orifices due to conditions like cicatrizing conjunctivitis. Distichiasis is a second row of lashes from the meibomian glands that may be congenital or dominantly inherited. Phthiriasis palpebrarum is an infestation of pubic crab l

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Ahmed Younis
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325 views8 pages

Disorders of Lashes: 1. Trichiasis 2. Metaplastic Lashes 3. Distichiasis 4. Phthiriasis Palpebrarum 5. Madarosis

This document summarizes several disorders of the eyelashes including trichiasis, metaplastic lashes, distichiasis, phthiriasis palpebrarum, madarosis, and poliosis. Trichiasis involves the misdirection of normal lashes toward the eye which can cause punctate epitheliopathy and corneal issues. Metaplastic lashes arise from meibomian gland orifices due to conditions like cicatrizing conjunctivitis. Distichiasis is a second row of lashes from the meibomian glands that may be congenital or dominantly inherited. Phthiriasis palpebrarum is an infestation of pubic crab l

Uploaded by

Ahmed Younis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

DISORDERS OF LASHES

1. Trichiasis

2. Metaplastic lashes

3. Distichiasis

4. Phthiriasis palpebrarum

5. Madarosis

6. Poliosis
Trichiasis
Signs Complications

• Posterior misdirection of normal lashes • Inferior punctate epitheliopathy


• Most frequently affects lower lid • Corneal ulceration and pannus
Treatment Options for Trichiasis

1. Epilation - but recurrences within few weeks

2. Electrolysis - but frequently repeated treatments required

3. Cryotherapy - for many lashes

4. Laser ablation - for few scattered lashes

5. Surgery - for localized crop resistant to other methods


Metaplastic lashes
Signs Causes

Aberrant lashes arising from meibomian Cicatrizing conjunctivitis (ocular pemphigoid,


gland orifices Stevens-Johnson, chemical burns)
Distichiasis
Signs Treatment

• Second row of lashes arising • Division into anterior and posterior


from meibomian gland orifices lamellae
• Congenital • Cryotherapy to posterior lamella
• Occasionally dominantly inherited • Reapposition of lamellae
Phthiriasis palpebrarum
• Infestation of lashes by pubic crab louse and its ova (nits)
• Typically affects children in poor hygenic conditions

Lice gripping base of lashes Nits and empty shells adhere to base of lashes
Treatment - removal, destruction and delousing
Madarosis
Decrease in number or complete loss of lashes
Local causes
• Chronic anterior
lid margin disease
• Infiltrating tumours
• Burns, radiotherapy
or cryotherapy
Systemic causes
• Generalized alopecia
• Myxoedema
• SLE
• Syphilis
• Leprosy
Following removal
Poliosis
Premature localized whitening of hair

Ocular associations
• Chronic anterior blepharitis

• Sympathetic ophthalmitis

Systemic associations
• Vogt-Koyanagi-Harada
syndrome

• Waardenburg syndrome

DISORDERS OF LASHES 1. Trichiasis 2. Metaplastic lashes 3. Distichiasis 4. Phthiriasis palpebrarum 6. Poliosis 5. M
Trichiasis • Posterior misdirection of normal lashes • Most frequently affects lower lid Complications • Inferior punc
Treatment Options for Trichiasis 1. Epilation - but recurrences within few weeks 2. Electrolysis - but frequently repea
Metaplastic lashes Cicatrizing conjunctivitis (ocular pemphigoid, Stevens-Johnson, chemical burns) Aberrant lashes arisi
Distichiasis • Second row of lashes arising from meibomian gland orifices • Congenital • Cryotherapy to posterior
Phthiriasis palpebrarum • Infestation of lashes by pubic crab louse and its ova (nits) • Typically affects children in
Madarosis Local causes • Chronic anterior lid margin disease • Infiltrating tumours • Burns, radiotherapy or cry
Poliosis Premature localized whitening of hair Ocular associations • Chronic anterior blepharitis • Sympathetic ophtha

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