Ocular lubricants for symptomatic relief (drops for use during the day, unmedicated ointment for use at bedtime)
Epilation: remove lashes with forceps
Advise patient that lashes will re-grow within 4-6 weeks, therefore epilation may need to be repeated
Consider therapeutic contact lens (silicone hydrogel soft, rigid limbal or rigid scleral) for temporary relief of symptoms
Advice
If due to entropion, tape the eyelid for temporary relief of symptoms
Lid hygiene for associated blepharitis
Management Category
Mild cases requiring epilation only; normally no referral
Routine referral to ophthalmologist for more severe cases for surgical intervention
Possible management by Ophthalmologist
Electrolysis
Cryotherapy
Argon laser photocoagulation
Lid surgery
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