A woman in her 40’s with a history of using eyelash extensions/fibers (Moodstruck 3D Fiber Lashes +; Younique) presented with redness, irritation, and pain in her right eye. An examination revealed several fibers (approximately 1 mm long) overlying the conjunctiva, with at least 6 in the subconjunctival space.
The patient’s eyes were too tender for removal of the subconjunctival foreign bodies at slitlamp. These fibers are described as being made from nylon and enriched with several chemicals (propylene glycol, squallane, tocopheryl).1
She was prescribed a course of topical chloramphenicol, 0.5%, and dexamethasone, 0.1%, 4 times daily. Three days later she was still symptomatic, and the fibers were subsequently removed in the operating room under a local anesthetic ( See Figure). Nylon is inert; however, the chemicals presumably caused the localized reaction. The patient’s symptoms resolved following the removal of the fibers while continuing the course of topical chloramphenicol and dexamethasone for 2 weeks.
Article Information – Shared from JAMO Ophthalmology
Corresponding Author: Mohammad Samir Dowlut, MBCHB, FRCOphth, Department of Ophthalmology, Royal Victoria Hospital, 274, Grosvenor Rd, Belfast BT12 6BA, United Kingdom (firstname.lastname@example.org).
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.References1.Younique. 3D Fiber Lashes+. https://www.youniqueproducts.com/story/fiberlashesplus. Accessed August 27, 2017