Eyelid splitting with follicular extirpation using a monopolar cautery for the treatment of trichiasis and distichiasis

Jung, Myungjin; Park, Min Soo; Nam, Dong Heun; Moon, Hyun Seung; Baek, Se Hyun

doi:10.1007/s00417-005-0176-3

Cited by 17 publications

(16 citation statements)

References 13 publications

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“…Other treatment options, including electroepilation, simple conjunctival resection (Campbell and McCree 1977), excision through a tarsoconjunctival trapdoor (Dortzbach and Butera 1978), eyelash trephination (McCracken et al . 2006), eyelid splitting combined with follicular extirpation via electrocautery (Chi et al . 2007), and mucous membrane grafting (White 1975) are available but have not been described for equine distichiasis.…”

Section: Discussionmentioning

confidence: 99%

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Distichiasis causing recurrent corneal ulceration in two Friesian horses

Lassaline

Wotman

2011

Equine Veterinary Education

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Summary Two cases of distichiasis with subsequent recurrent superficial corneal ulceration are described in Friesian horses. Case 1 was a 9‐year‐old Friesian stallion with distichiae on the superior and inferior eyelids of both eyes corresponding to areas of recurrent superficial corneal ulceration. Case 2 was a 5‐year‐old Friesian gelding with a single distichia on the inferior lid associated with recurrent superficial corneal ulceration in the right eye. Case 1 underwent cryotherapy and epilation twice under standing sedation without resolution of distichiasis. A partial tarsal plate excision was then performed on the inferior left lid, which was the most severely affected. Cryotherapy was repeated one and 4 months post operatively due to recurrence. Cryotherapy was associated with skin depigmentation and repigmentation several months following the procedure. No recurrence has been reported up to 3 years following the fourth cryotherapy procedure. Case 2 was treated with epilation. Distichiasis should be included as a differential diagnosis when presented with a horse experiencing recurrent superficial corneal ulcerations. There has been no established breed association for Friesian horses and distichiasis but, due to the inherited nature of this condition in some human patients and dogs, this possibility should be investigated.

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Section: Discussionmentioning

confidence: 99%

“…Recurrence rates vary by treatment modality, with no recurrence reported in human patients following eyelash trephination (McCracken et al . 2006), >80% resolution following initial treatment with both electrocautery (Chi et al . 2007) and cryotherapy (Delaney and Rogers 1984), and >95% resolution following a second course of either therapy.…”

Section: Discussionmentioning

confidence: 99%

Distichiasis causing recurrent corneal ulceration in two Friesian horses

Lassaline

Wotman

2011

Equine Veterinary Education

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“…Use of bipolar diathermy for the above procedure is yet to be reported in literature. Some prefer to do the same surgery with a monopolar cautery, [7] but cosmesis is not as rewarding.…”

Section: Discussionmentioning

confidence: 99%

Familial distichiasis

Chowdhury¹,

Sk²

2007

Indian J Plast Surg

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ABSTRACTcongenital familial distichiasis is a rare condition usually accompanied by other symptoms. isolated familial distichiasis is rarely heard of. various modalities of treatment have been tried over the years. we present a case of familial distichiasis spanning over three generations. our patient was treated with eyelid splitting and follicular extirpation with bipolar cautery. at two years follow-up, there is no recurrence of the distichiatic lashes, with excellent functional and cosmetic result.

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“…Distichiasis is commonly described in man and dogs but in cats and horses it is very uncommon [1,[5][6][7][8][9][10]. In humans, distichiasis can be congenital or acquired in the setting of chronic inflammation and following chemical injuries of the eyelid [9,11]. Congenital distichiasis can occur sporadically or as an autosomal dominant condition [10,11].…”

Section: Introductionmentioning

confidence: 99%

Treatment and long‐term follow‐up of distichiasis, with special reference to the Friesian horse: A case series

Hermans

Ensink

2013

Equine Veterinary Journal

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There is a breed predisposition of distichiasis in the Friesian horse. In Friesian horses that present with uni- or bilateral corneal irritation or corneal ulceration, careful examination of the eyelid margins should be performed to diagnose distichiasis. Electrocautery is a valid and successful therapeutic modality which is minimally invasive, inexpensive, has a low complication rate and is easy to perform in the standing sedated horse. The recurrence rate is low in horses with less than 5 distichiae.

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Eyelid splitting with follicular extirpation using a monopolar cautery for the treatment of trichiasis and distichiasis

Abstract: Eyelid splitting coupled with follicular extirpation via cautery with a monopolar needle, a procedure which requires no sutures, constitutes a simple and effective method for the treatment of both trichiasis and distichiasis and is associated with favorable functional and cosmetic results.

Cited by 17 publications

References 13 publications

Distichiasis causing recurrent corneal ulceration in two Friesian horses

Distichiasis causing recurrent corneal ulceration in two Friesian horses

Familial distichiasis

Treatment and long‐term follow‐up of distichiasis, with special reference to the Friesian horse: A case series

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