Treatment of distichiasis is only required if the hairs are causing irritation, corneal ulcerations, or conjunctivitis. If irritation, corneal ulcerations or conjunctivitis do occur, there are treatment options. Your veterinarian or canine ophthalmologist will discuss the best treatment option for your companion.
Ocular lubricants
A lubricating gel may be the only necessary treatment if the case of distichiasis is mild. The lubricating gel will soften the hairs and therefore reduce the irritation. Your dog will need to remain on a lubricating gel for the rest of its life.
Plucking
In some cases, the extra eyelashes are able to be plucked. This may be the treatment if there are only a few long hairs that need to be removed. Hairs do grow back; therefore regular plucking will need to occur throughout your dog’s lifetime.
Electrolysis (Electroepilation)
Your dog would be put under general anesthesia for the procedure. During electrolysis, a very fine electrode is inserted into the hair follicle and an electrical current is applied to permanently get rid of the hair. Only hairs that are currently visible can be removed, therefore new hairs can still grow in. There may be some discoloration or scarring of the eyelids.
Cryotherapy (Cryosurgery)
Your dog would be put under general anesthesia for the procedure. This procedure is used when there are several hairs that are causing problems to the eye. A probe is used on the inner surface of the eyelid where the hair follicles are present. The eyelid is frozen to remove the hairs. There may be some discoloration or scarring of the eyelid. Cryotherapy may need to be repeated if new hairs emerge on the eyelid.
Hotz-Celsus
This is a procedure where the eyelid is rolled outwards and tacked. By rolling the eyelid outwards away from the cornea, the contact between the afflicting hairs and the cornea ceases and the irritation is removed.