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Severe allergic blepharoconjunctivitis induced by a dye for eyelashes and eyebrows
1Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel. Igork@cc.huji.ac.il
Ocular Immunology and Inflammation
|October 9, 2003
Summary
Eyebrow and eyelash dyes, even FDA-approved ones, can cause severe allergic blepharoconjunctivitis. This eye condition involves itching, redness, and swelling, but typically resolves with treatment.
Area of Science:
- Ophthalmology
- Allergology
- Dermatology
Background:
- Cosmetic dyes for eyebrows and eyelashes are widely used.
- Allergic reactions to these dyes can affect the ocular surface.
Observation:
- A case of severe allergic blepharoconjunctivitis is presented in a 38-year-old female.
- Symptoms included intense itching, redness, and epiphora following the use of an FDA-approved black eyelash and eyebrow dye.
Findings:
- Ocular examination revealed moderate eyelid edema, severe conjunctival hyperemia, papillary reaction, and chemosis.
- Corneas, anterior chambers, irides, lenses, and posterior segments remained normal.
- Treatment with Dexamethasone 0.1% and ocular lubrication led to symptom resolution and return to normal vision (20/20) within five days.
Implications:
- Even FDA-approved cosmetic dyes can trigger significant ocular surface inflammation.
- This case highlights the importance of considering cosmetic products as potential allergens in patients presenting with acute blepharoconjunctivitis.
- Ophthalmologists should inquire about cosmetic product use in cases of severe ocular irritation.