© Copyright 2026 American Medical Association. All rights reserved.
Trichiasis is a condition affecting the eyelids, characterized by the abnormal inward growth of eyelashes towards the eyeball, which can lead to irritation and discomfort of the eye. The severity of trichiasis can vary, with some individuals experiencing misdirected lashes on only a portion of the eyelid, while others may have the entire eyelid affected. The treatment approach for trichiasis is determined by the extent of the condition. For cases where only a segment of the eyelid is involved, epilation, or the removal of the misdirected eyelashes, is typically performed. This procedure is specifically addressed by CPT® Code 67820, which involves the use of forceps to grasp and remove each misdirected eyelash under microscopic visualization. The eyelid is everted to facilitate access to the lashes, ensuring precision during the removal process. In contrast, more extensive cases may require alternative techniques, such as incision with or without grafting, to address the underlying issues effectively. Understanding the nuances of trichiasis and its treatment options is essential for healthcare professionals involved in the management of this eyelid abnormality.
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