Hi, this is Dr. Yuki!
Upside-down eyelashes, also known as trichiasis, occur when the eyelashes grow inward toward the eye instead of outward. This condition can cause discomfort, irritation, and even damage to the eye. Here are some common causes and potential solutions:
Causes of Upside-Down Eyelashes (Trichiasis)
- Congenital Factors: Some individuals are born with eyelid abnormalities that cause eyelashes to grow inward.
- Aging: Changes in the eyelids and eyelashes due to aging can result in trichiasis.

Solutions for Upside-Down Eyelashes
- Laser Ablation: Using a laser to remove the problematic eyelashes and destroy the follicles.
- Surgery: In severe cases, surgical procedures such as eyelid rotation or correction can be performed to address the underlying cause of trichiasis.
- Lubricating Eye Drops: To alleviate irritation and protect the cornea until a more permanent solution is implemented.
Consulting with an eye care professional is essential for diagnosing the underlying cause of trichiasis and determining the most appropriate treatment plan.
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