From Glamour to Danger: Clinical Cases of Ocular and Eyelid Complications After Eyelash Extensions

Eyelash extensions have become an increasingly popular cosmetic procedure worldwide. Despite their widespread use, these aesthetic enhancements may be associated with various ocular and periocular complications, ranging from mild irritation to severe infections. We report the case of a 28-year-old woman who developed acute bilateral ocular complications following the application of semi-permanent eyelash extensions. The patient presented with decreased visual acuity, photophobia, and significant ocular discomfort. Slit-lamp examination revealed a large central corneal abscess in the left eye and smaller peripheral microabscesses in the right eye. Microbiological analysis identified Pseudomonas aeruginosa. Intensive topical antibiotic therapy with fortified vancomycin and ceftazidime resulted in resolution of the infection, although residual corneal scarring persisted in the affected eye. This case highlights a rare but potentially sight-threatening complication associated with eyelash extensions. Possible pathogenic mechanisms include mechanical microtrauma, microbial contamination of synthetic fibers or adhesives, and tear film alteration. Early diagnosis, microbiological confirmation, and prompt aggressive treatment are essential to prevent irreversible visual impairment. Increased awareness among patients, ophthalmologists, and cosmetic practitioners is crucial given the growing popularity of these procedures.