- Author: Soheila Rostami, MD, FAACC; Chief Editor: Hampton Roy, Sr, MD more...
In some cases, differentiation of acquired distichiasis from trichiasis may be difficult. In trichiasis, the lashes grow from the anterior lamella, not from the meibomian orifices (see following image). After lid reconstruction, this distinction may not be possible, especially if a skin graft was used.
Entropion may be confused with distichiasis. The lids must be held in their proper position to evaluate the lashes. Careful examination of the lid anatomy and the lid position prevents the misdiagnosis.
Epiblepharon is a condition that is mostly present in children. In this condition, the lashes are not truly misdirected, but pushed by the fold of pretarsal skin against the globe.
Lid scar, chronic blepharoconjunctivitis, and cicatricial conjunctivitis are other conditions that can be confused with distichiasis.
Complications of surgical interventions are hemorrhage, infection, wound dehiscence, lid margin deformities, entropion or ectropion, and regrowth.
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