![]() Excluded from the study were patients with cicatricial entropion, trachoma, or any history of eyelid surgery or trauma to the eyelids or periorbital area. In our clinical experience, these were the most common and easily identifiable symptoms in patients with inturned upper eyelid eyelashes. Criteria for inclusion in the study were having bilateral inturned upper eyelid eyelashes with at least 1 of the following 3 symptoms in both eyes: foreign body sensation, itchiness, and tearing. This practice inspired us to determine whether custom-contoured adhesive tape could be an effective temporary measure to alleviate symptoms of inturned upper eyelid eyelashes.įifty consecutive patients with symptomatic, bilaterally inturned upper eyelid eyelashes were studied from August 23, 2010, to January 17, 2011. Adhesive tapes include Beautiful Eyes Charm Double Eyelid Adhesive Tape, DUP Wonder Eyelid Tape, and 3M Nexcare. It is a common practice among Asian women to use commercially available precut adhesive tape or self-cut adhesive tape to effect a double upper eyelid fold. To our knowledge, no studies on temporary measures to correct inturned upper eyelid eyelashes have been published. 8 - 10 However, immediate surgery or access to an ophthalmologist who can perform surgery is not always available. Surgery is the treatment of choice for inturned upper eyelid eyelashes. Camara et al 7 described a condition called involutional lateral entropion wherein only the lateral aspect of the upper eyelid margin was inturning. Both patients had upper eyelid entropion secondary to involutional lash ptosis. Miller and Hesse 2 described involutional upper eyelid entropion in 2 patients, a white woman and an African American man, attributable to a combination of horizontal and vertical eyelid laxity, atrophy of the tarsal plate, and overriding of the septal orbicularis. ![]() 4, 6 In severe cases where inturned lashes chronically rub against the cornea, the corneal epithelium may ulcerate, resulting in permanent corneal opacification or blindness. Ophthalmic findings include chronic lateral conjunctivitis, corneal abrasions, and lateral angular excoriation of the eyelid margin. Symptoms of inturned upper eyelid eyelashes are foreign body sensation, tearing, itchiness, and eye pain. 1 - 5 These anatomical substrates cause dermatochalasis, lateral canthal tendon laxity, lash ptosis, and sometimes trichiasis. The changes that accompany involutional entropion include eyelid tissue laxity, disinsertion of eyelid retractors, shrinkage of tarsal plates, downward displacement due to the effects of gravity, and enophthalmos of orbital fat. Inturned upper eyelid eyelashes are found in elderly patients whose eyelid margins turn inward due to aging changes. ![]() Symptoms in the control eye remained unchanged.Ĭonclusion Use of adhesive tape can be an effective temporary measure for relief of symptoms of inturned upper eyelid eyelashes. Tukey honestly significant difference analysis revealed a significant difference in symptoms before and during tape adhesion and a significant difference during and after tape adhesion. Results Analysis of variance showed a significant difference between the study and control groups ( P = .002). A questionnaire was used to assess relief or persistence of the symptoms before, during, and after tape adhesion. Transpore tape was applied to the right upper eyelid of each patient the left eye was used as a control. Methods In a prospective, consecutive, comparative, nonrandomized, interventional case series, 50 patients (100 eyes) had inturned eyelashes with at least 1 of 3 symptoms: foreign body sensation, itchiness, and tearing. Objective To evaluate the efficacy of adhesive tape for temporary management of inturned upper eyelid eyelashes. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.
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