This procedure is not widely used, and it is only useful for few aberrant cilia. The patient receives topical, local, or no anesthesia, and sits at the slit lamp that is equipped with an argon laser. The lid margin is rotated outward, and the laser is aimed at the hair shaft. A total of 12-30 shots are needed per lash. The complications of this procedure are very similar to complications of electrolysis.
Some comprehensive ophthalmologists are capable of taking care of simple cases of distichiasis.
However, the majority of the patients with this disorder should be referred to an ophthalmic plastics and reconstructive surgeon. Surgical intervention in these cases is eminent and the lubricants only help for a short period of time. Ophthalmic lubricants - Prevent excessive dryness and irritation of the eye. After lid reconstruction, this distinction may not be possible, especially if a skin graft was used. Entropion may be confused with distichiasis.