Ingrown eyelashes, a condition where eyelashes grow inwards towards the eyeball instead of outwards, can affect both upper and lower eyelids. This condition can manifest in two forms: misdirected lashes (long xieu), where a few strands grow abnormally, or entropion (long quam), more common in young children, where the eyelid margin or cartilage subtly turns inward.

This condition causes significant discomfort for children, leading to symptoms such as a foreign body sensation, watery eyes, redness, and discharge. Prolonged irritation can scratch the corneal surface, resulting in irritation, conjunctivitis, or keratitis. If left untreated, severe cases can lead to vision impairment or even blindness.

Doctor Phuc examines a young girl's eyes. Photo illustration: Tam Anh General Hospital.

Parents should take their child to an ophthalmology department for a professional examination. A doctor can determine the specific cause, severity, and appropriate treatment plan. For cases where eyelashes only lightly touch the eye without causing corneal damage, artificial tears may be prescribed. These tears create a cushioning layer, reducing friction between the eyelashes and the eye. Parents might also receive guidance on how to massage the eyelid area to help redirect eyelash growth outwards. In some overweight or obese young children, the condition may gradually improve with proper weight management.

If ingrown eyelashes cause corneal abrasions or infection, the child will receive medication to manage the damage. Once the inflammation stabilizes, the doctor will consider eyelid correction surgery. This surgical intervention aims to eliminate the source of friction and protect the child's long-term vision.

Master, Doctor Duong Minh Phuc

High-Tech Eye Center,

Tam Anh General Hospital Ho Chi Minh City