Trichiasis and distichiasis after protracted eyelash tint
Author: Alberto Chierigo
Base Hospital / Institution: Oculoplastic and Orbital Service, Ophthalmology Department, University Hospital Southampton NHS Foundation Trust, United Kingdom
ePoster presentation
Abstract ID: 25-437
Purpose
Eyelash tints have been associated with allergic contact dermatitis of variable severity and ocular argyrosis. We present a unique case of trichiasis associated with chronic use of eyelash tints over several years. To our knowledge, this is the first reported bilateral trichiasis presenting as a complication from eyelash tinting.
Methods
A 48-year-old Caucasic woman presented with bilateral lower eyelid trichiasis, persisting for 4 years and managed by self-epilation. She denied any history of congenital eyelid anomalies, herpes infections, eyelid tumours, surgery, trauma or burns. Notably, she had undergone professional eyelash tinting regularly over the past 5 years.
Results
Ophthalmic examination revealed bilaterally tinted eyelashes, trichiatic and distichiatic lashes on the lower lids, and severe Meibomian gland disfunction with anterior displacement of Marx line. An allergic reaction to ingredients of the eyelash dyes was suspected. Patch testing for resorcinol and phenylenediamines returned positive results. Of note, although the manufacturer recommended patch testing every six months, the patient had never undergone such screening.
The patient was instructed to discontinue the use of eyelash dyes, avoid self-epilation and begin conservative on blepharitis management.
Conclusion
Chronic exposure to chemical agents in eyelash tints may contribute to local adverse effects beyond well-documented cases of contact dermatitis and argyrosis. This case suggests a possible link between repeated allergic reactions and the development of trichiasis, potentially mediated by chronic inflammation and scarring of the eyelid margin. Clinicians should consider cosmetic product use, particularly eyelash tints, in the differential diagnosis of acquired trichiasis. Routine patch testing and patient education on potential ocular risks coming from the use of hair dyes on lashes should be emphasised in cosmetic practices.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Jessica | Michaels | Oculoplastic and Orbital Service, Ophthalmology Department, University Hospital Southampton NHS Foundation Trust, United Kingdom |
| Daniele | Lorenzano | Oculoplastic and Orbital Service, Ophthalmology Department, University Hospital Southampton NHS Foundation Trust, United Kingdom |
