Eyelash extensions or “fake eyelashes” is a popular fashion trend, however, it is also linked to an increase in eyelash-related eye complications. In light of this, Eye Care Practitioners need to educate patients on what to do when they encounter potential problems.
What are eyelash extensions and what purpose do they serve?
Eyelash extensions are glued-on to the existing eyelashes. The motive
for extensions is to enhance facial beauty using artificial thick, long lashes rather than relying on everyday eye make-up. Typically, peer pressure coerces ordinary people to look to fashion gurus to become divas and follow the “coolest trend”. Women want to be selfie-ready just like
popular culture’s Kardashians who are now even selling their own brand
of fake eyelashes.
How to care for eyelash extensions
- Do not get the extensions wet for at least 8 hours after the eyelash extension application.
- Avoid hot steam from a shower or sauna for at least 8 hours after the eyelash extension application.
- Do not rub your eyes excessively.
- Do not use an eyelash curler.
- Do not trim the extensions.
- Avoid getting oil-based products on the extensions as this will break down the bond of the adhesive.
- Cleanse the extensions gently on a daily basis using an oil-free lash cleanser.
- When it is time for eyelash extension removal, see trained personnel at the salon to remove the extensions. Do not attempt to pull them off yourself.
What are the eye-related complications arising from eyelash extensions?
- Redness and irritation.
- Inflammation and swelling.
- Infection. Extensions can trap dirt and bacteria, leading to serious infections.
- Allergic reaction. The glue in some eyelash adhesives contains formaldehyde, which can cause a severe allergic reaction over time that can result in oozing and crusting. Formaldehyde is also a known carcinogen.
- Loss of eyelashes is known as madarosis. The glue can pull out your lashes or you could inadvertently end up pulling them out yourself.
- Eyelash extension irritation can lead to a condition called traction alopecia, which causes you to tug on them. The natural eyelashes fall out due to excessive tension placed on the hair shaft. As a result, this can damage the hair follicle which can slow down and even cease the production of hair.
- Permanent damage to the natural eyelashes and erosion of the inner surface of the eyelid due to prolonged use of eyelash extensions.
How are eyelash extension complications treated?
- The easiest way to prevent the risk of infection or eye irritation is to simply avoid getting eyelash extensions.
- Check to see the ingredient list on the adhesive being used and check for potential allergens like formaldehyde.
- If you do notice signs of infection, see an Eye Care Practitioner as soon as possible.
- Eye Care Practitioners prescribe antibiotic-steroid combination drops to treat inflamed eyes and antihistamine-mast cell stabiliser drops to relieve itchy eyes.
- Patients who are allergic to products used for eyelash extensions are strongly dissuaded from using extensions.


Conclusion
Often patients are engaged in beauty regimens that are harmful to their health and wellness. Practitioners need to be aware of the potential risks and care that are associated with patients’ lifestyle choices.