AIM: To observe the clinical effect of correction of congenital districhiasis in children by gray line incision and hair follicle root excision.

METHODS: Thirteen eyes of 8 patients with congenital districhiasis admitted to our hospital from September 1990 to October 2015 were collected. Under general anesthesia or local anesthesia, all the patients were admitted gray line incision and hair follicle root excision. The patients were followed up for 3mo-5a to observe the prognosis.

RESULTS: All the patients' wounds had healed and the eyelid activity was not affected 48h after the operation. Patients were followed up and observed and their districhiasis had completely corrected after surgery. The incision of the gray line of the eyelid margin healed smoothly, no eyelid margin deformity and surgical scar formated. The anterior eyelid lashes were not disturbed by surgery and no entropion, ectropion or trichiasis were found. The posterior lip of the eyelid margin is sharp and flat, keeping the angle of contact with the surface of the eyeball. No entropion or ectropion formation,and no abnormal tear conduction were found, no residual eyelashes. There was no corneal irritation, and the corneal surface infiltration lesion healed.

CONCLUSION: Gray line incision and hair follicle root excision is effective surgery in correction of congenital districhiasis in children with low recurrence rate. The operation is simple and meets the requirements of eyelid physiological function and appearance.