Treatment of Ingrown Eyelash: Specialist Referral Recommended
An ingrown eyelash should be managed by an ophthalmologist, not a family provider, as this condition requires specialized ophthalmic examination skills and may necessitate procedural intervention that falls within the scope of ophthalmology practice. 1
Rationale for Specialist Management
Diagnostic Complexity
- Ingrown eyelashes (trichiasis) require slit-lamp biomicroscopy for proper evaluation to assess the extent of eyelid margin involvement and potential corneal damage 1
- The condition may be associated with more serious underlying pathology, including eyelid tumors (basal cell carcinoma, squamous cell carcinoma, or sebaceous carcinoma), particularly when presenting as atypical eyelid-margin inflammation unresponsive to initial treatment 1
- Ophthalmologists are trained to identify features such as nodular masses, ulceration, extensive scarring, lash loss, or localized crusting that may suggest malignancy 1
Treatment Requirements
- Management often requires specialized procedures including epilation, electrolysis, cryotherapy, or surgical intervention that are within the ophthalmologist's procedural competency 1
- The ophthalmologist carries out only those procedures for which he or she is adequately trained, experienced, and competent 1
- Proper treatment requires assessment of corneal integrity using fluorescein staining and management of any associated keratoconjunctivitis 1
Risk of Complications
- Ingrown eyelashes can cause corneal abrasion, keratoconjunctivitis, and chronic ocular surface damage if not properly managed 2, 3
- The condition may produce persistent foreign body sensation and ocular discomfort requiring specialized ophthalmic care 4, 3
Clinical Pitfalls to Avoid
Do not attempt simple removal without proper equipment and training, as incomplete treatment may lead to recurrence and potential corneal damage 1. The ophthalmologist should be consulted when there is moderate or severe pain, visual loss, or chronic symptoms 1.
Beware of unilateral, chronic, or treatment-resistant cases, as these may represent sebaceous carcinoma or other malignancies masquerading as benign eyelid inflammation 1.