Simple surgery for severe trichiasis.

Purpose: To describe a simple surgical technique for the definitive treatment of severe trichiasis, where the eyelid position is adequate.
Methods: Five anterior lamellar excision procedures are reported, with wounds left to heal by the laissez-faire technique.
Results: Postoperatively, all patients were symptom free. No recurrences have been seen with a mean follow-up of 17 months.
Conclusions: Wound healing by secondary intention for periocular defects is not commonly described. Combined anterior lamellar excision and laissez-faire technique shows promising results for trichiasis.