Short tarsus absence of lower eyelashes

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Short Tarsus Absence of Lower Eyelashes is a rare congenital disorder characterized by the underdevelopment (hypoplasia) of the tarsal plates in the eyelids and the absence of lower eyelashes. The tarsal plates are the connective tissue structures within the eyelids that provide them with form and support. This condition can affect one or both eyes and is present from birth.

Symptoms and Diagnosis[edit | edit source]

The primary symptom of Short Tarsus Absence of Lower Eyelashes is the noticeable absence of lower eyelashes combined with a shorter than normal tarsal plate, which may result in a distinctive appearance of the eyelids. Patients may also experience additional ophthalmological disorders such as entropion, where the eyelid turns inward, or ectropion, where the eyelid turns outward. These conditions can lead to further complications, including eye irritation, increased susceptibility to infections, and difficulties in tear film maintenance, potentially resulting in dry eye syndrome.

Diagnosis of this condition typically involves a comprehensive eye examination. Healthcare providers may use imaging techniques, such as magnetic resonance imaging (MRI) or ultrasound, to assess the structure of the eyelids and confirm the hypoplasia of the tarsal plates.

Causes[edit | edit source]

The exact cause of Short Tarsus Absence of Lower Eyelashes is currently unknown. It is believed to be a genetic disorder, possibly resulting from mutations in specific genes responsible for eyelid development during the embryonic stage. However, the condition is rare, and research into its genetic basis is ongoing.

Treatment[edit | edit source]

Treatment for Short Tarsus Absence of Lower Eyelashes is primarily supportive and aims to manage symptoms and prevent complications. In cases where entropion or ectropion is present, surgical intervention may be necessary to correct the eyelid position and protect the eye from further damage. Artificial tears and lubricating ointments can be used to alleviate symptoms of dry eye.

Patients with this condition may also benefit from consultations with a genetic counselor to understand the genetic aspects of the disorder and its implications for family planning.

Prognosis[edit | edit source]

The prognosis for individuals with Short Tarsus Absence of Lower Eyelashes largely depends on the presence and severity of associated ophthalmological disorders. With appropriate management and treatment of symptoms, individuals can lead a normal life. However, regular follow-up with an ophthalmologist is recommended to monitor for potential complications.


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Contributors: Prab R. Tumpati, MD