Self-epilation is an acceptable alternative to surgery in patients with mild trachomatous trichiasis

Teaching patients with mild trachomatous trichiasis—a leading cause of blindness in low resource countries in which chronic conjunctivitis leads to scarring causing the eyelids to turn inwards and the eye lashes to rub the eye causing pain, corneal damage, and visual impairment—to safely pull out the eyelashes touching their eye (epilation) using clean forceps, is an acceptable alternative to surgery to preserving vision. Furthermore, epilation may have additional advantages as surgical services are likely to remain unacceptable, inaccessible or prohibitively expensive for many people with the condition.

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