Chemical conjunctivitis and keratitis after removal of eyela
The present case has been reported in the American Journal of Ophthalmology Case Reports. There have been several reports in the literature demonstrating the adverse effects of multiple ocular cosmetic procedures, such as eyelash extensions, eyeliner tattoo, and eyelash dyeing.

The authors here present a unique case of a 46-year-old female with a prior history of laser assisted in-situ keratomileusis (LASIK) who presented with bilateral chemical conjunctivitis and diffuse lamellar keratitis (DLK) secondary to epithelial defects following the misapplication of eyelash extension removal gel.

The authors believe that patient's chemical conjunctivitis and DLK was mainly attributed to the eyelash removal solvent seeping into the patient's eyes. However, a history of LASIK, exposure to high concentrations of lidocaine and tetracaine, eyelid tattooing, and prolonged periods without eyelid closure were all significant contributing factors to the patient's symptoms and disease.

This patient suffered many years of significant dry eyes, poor visual acuity, visual fluctuation, intermittent headaches, and significant functional impairment as she was unable to work for months. Therefore, the authors recommend continuing further evaluation into the chemicals of these cosmetics to improve safety and prevent such incidents from occurring.

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