A simple surgical treatment for upper lid trichiasis.

The authors report the results of a simple surgical treatment in 24 lids of 19 patients. The most common cause of the trichiasis was trachoma (83.3%). The operation involved splitting the lid margin, fracturing the tarsal plate, and everting sutures. The anatomic success rate was 62.5% and the functional success rate was 75%. Recurrent cilia were mostly isolated and symptomatic improvement was achieved in all but one patient. The authors conclude that this is a cost-effective procedure.