Introduction:
The cosmetic industry has experienced a remarkable surge in the demand for eye makeup products such as eyeliners, mascaras, and eyeshadows. These products are widely sought after by consumers seeking to enhance their facial aesthetics, accentuate their eyes, and express their personal style. (1) However, alongside the popularity of eye makeup, there exists a significant concern regarding the potential risks to ocular health stemming from improper use and hygiene practices associated with these products. (2)
Eye makeup products, by their nature, come into direct contact with the delicate tissues surrounding the eyes. This close proximity to the ocular surface creates a prime environment for microbial contamination and subsequent infection. Contaminated eye makeup can introduce harmful microorganisms, including bacteria, fungi, and viruses, onto the skin and mucous membranes of the eyelids and conjunctiva. (3)
Ocular infections resulting from contaminated eye makeup can manifest in various forms, ranging from mild discomfort and irritation to more severe inflammatory conditions. Common ocular infections associated with contaminated eye makeup include conjunctivitis (commonly known as pink eye), blepharitis (inflammation of the eyelid margins), and keratitis (inflammation of the cornea). These infections can cause symptoms such as redness, itching, burning sensation, excessive tearing, discharge, and in severe cases, vision impairment. (4)
Moreover, individuals with compromised immune systems or pre-existing ocular conditions may be at heightened risk of developing severe complications from ocular infections caused by contaminated eye makeup. For example, contact lens wearers are particularly susceptible to microbial contamination and infection due to the extended wear time and potential interaction between contact lenses and makeup residues.
Understanding the intricate relationship between eye makeup practices and ocular infections is paramount for both healthcare providers and consumers alike. Healthcare professionals play a crucial role in educating patients about the potential risks associated with eye makeup use and providing guidance on safe cosmetic practices. Similarly, consumers must be vigilant about adopting proper hygiene habits when using eye makeup, including regularly cleaning and replacing cosmetic applicators, avoiding sharing makeup products with others, and refraining from using expired products. (5)
By fostering awareness and promoting adherence to safe cosmetic practices, healthcare providers and consumers can work together to mitigate the risk of ocular infections related to eye makeup use. This collaborative effort is essential for safeguarding ocular health and ensuring that individuals can continue to enjoy the benefits of eye-enhancing cosmetics without compromising their vision and well-being.
Classification of eye makeup
Eyelash cosmetics encompass various products like mascara and eyelash dye, each with distinct formulations and applications. Mascara is primarily used to enhance eyelashes, available in different colors to suit preferences. It comes in cakes, creams, gels, and liquids, each with its advantages and drawbacks. Cream mascara, for instance, offers easy application but may clump over time, while liquid mascara, the most popular, comes in water-based or non-water-based formulas, offering options for waterproof and quick-drying effects. (6)
Eyelash dye and tint are used to darken and thicken lashes, with the color lasting for weeks or longer. Regulatory authorities have tightened regulations on the use of color additives for eyelash products due to potential eye damage.
Eyelid cosmetics like eyeliner and eyeshadow are popular for enhancing eye appearance. Eyeliner, available in cakes, liquids, creams/gels, and pencils, accentuates the eyes with various application styles. Eyeshadow, offered in paste, cream, stick, pencil, liquid, and powder forms, adds depth and dimension to the eyes. (7)
Eye makeup remover aids in effectively removing cosmetics from the eyes and surrounding areas. It comes in different formulations such as oils, creams, foams, and wipes, utilizing surfactants and emulsifiers for efficient removal.
Other products like artificial eyelashes, adhesives, and removers are used for eyelash enhancement. Artificial eyelashes, made from natural or synthetic materials, can be semi-permanent or single-use. Adhesives, often cyanoacrylate-based, vary in type based on wearers' preferences and biological responses. Removal methods include organic solvents, creams, gels, and natural oils. (8)
Effects of eye makeup
Microbial Contamination of Eye Makeup Products:
Eye makeup products serve as a potential reservoir for microbial contamination due to their composition and frequent exposure to external environments. Studies have identified various bacteria, fungi, and other microorganisms present in unopened and used eye makeup containers, highlighting the importance of microbial surveillance in cosmetic manufacturing. Factors such as product formulation, packaging design, and storage conditions influence the growth and proliferation of pathogens, increasing the likelihood of contamination and subsequent ocular infections upon application. (3)
Transmission Routes and Ocular Infections:
The application and removal of eye makeup involve direct contact with the ocular surface, presenting opportunities for microbial transmission and colonization. Improper hygiene practices, such as sharing makeup applicators, using expired products, and neglecting to clean cosmetic tools, can exacerbate the risk of ocular infections. Common eye-related conditions associated with contaminated makeup include conjunctivitis, blepharitis, and keratitis, which manifest as redness, itching, discharge, and pain. Moreover, cosmetic procedures such as eyelash extensions and permanent makeup tattoos pose additional risks of infection if performed in unsterile environments or by untrained practitioners. (9)
Preventative Measures and Safe Practices:
To minimize the risk of ocular infections associated with eye makeup use, consumers can adopt several preventative measures and safe practices. Firstly, it's advisable to prioritize purchasing eye makeup products from reputable brands known for their commitment to quality and safety standards. Reputable brands often invest in rigorous testing and quality control measures to ensure their products are free from microbial contamination and harmful ingredients. Additionally, opting for hypoallergenic formulations can further reduce the risk of allergic reactions and irritation. (10)
Regular inspection of eye makeup products is essential to detect any signs of contamination or deterioration. Consumers should routinely check for changes in color, texture, or odor, as well as the presence of any visible particles or growths. Products exhibiting such signs should be promptly discarded to prevent the risk of ocular infections. Adhering to expiration dates printed on product packaging is crucial, as expired products can harbor microbial growth and increase the likelihood of contamination. Discarding expired products helps maintain product efficacy and reduces the risk of ocular infections. (11)
Practicing good hygiene habits before and during makeup application is fundamental for minimizing the risk of ocular infections. This includes thoroughly washing hands with soap and water before handling makeup products to prevent the transfer of bacteria and other pathogens. Furthermore, avoiding the sharing of cosmetics with others can significantly reduce the risk of cross-contamination.
Consideration should be given to using disposable applicators or regularly sanitized makeup brushes when applying eye makeup. Disposable applicators can be discarded after a single use, while makeup brushes should be cleaned regularly with brush cleansers or mild soap and water to remove any accumulated bacteria or residue. (12)
When removing eye makeup, it's important to employ gentle techniques to prevent ocular irritation and inflammation. Harsh rubbing of the eyes should be avoided, and appropriate eye makeup removers or gentle cleansers specifically formulated for the eye area should be used. Complete removal of all makeup residues before bedtime is crucial for maintaining optimal eye health.
By incorporating these preventative measures and safe practices into their beauty routines, consumers can minimize the risk of ocular infections associated with eye makeup use and safeguard their ocular well-being. Staying informed about emerging trends and safety guidelines in the cosmetic industry can further empower individuals to make informed choices regarding their eye makeup products. (13)
Conclusion:
The relationship between eye makeup practices and ocular infections underscores the importance of informed consumer choices and adherence to safe cosmetic practices. By recognizing the microbial risks associated with contaminated products and implementing preventative measures, individuals can safeguard their ocular health while enjoying the benefits of eye-enhancing cosmetics. Healthcare providers play a vital role in educating patients about proper makeup hygiene and identifying ocular infections related to cosmetic use for timely intervention and management. Continued research and collaboration within the cosmetic and ophthalmic communities are essential to mitigate the prevalence of eye-related complications associated with eye makeup application.
References:
1. Okereke J, Udebuani A, Ezeji E, Obasi K, Nnoli M. Possible health implications associated with cosmetics: a review. Sci J Pub Health. 2015;3(5):58. doi:10.11648/j.sjph.s.2015030501.21.
2. Ng A, Evans K, North RV, Jones L, Purslow C. Impact of eye cosmetics on the eye, adnexa, and ocular surface. Eye Cont Lens. 2016;42(4):211–20. doi:10.1097/ICL.0000000000000181.
3. Banerjee K. Cosmetics–care, concerns and caution. Int J Innovations Pharm Sci. 2018;6:14–31.
4. Tsubota K, Yokoi N, Shimazaki J, Watanabe H, Dogru M, Yamada M, Kinoshita S, Kim H-M, Tchah H-W, Hyon JY. New perspectives on dry eye definition and diagnosis: a consensus report by the Asia dry eye society. Ocul Surf. 2017;15(1):65–76. doi:10.1016/j.jtos.2016.09.003.
5. Ding C, Tóth-Molnár E, Wang N, Lacrimal Gland ZL. Ocular surface, and dry eye. J Ophthalmol. 2016;2016. doi:10.1155/2016/ 7397694.
6. Draelos ZD. Cosmetic dermatology: products and procedures. UK: John Wiley & Sons; 2016.
7. Diamandopoulos AA. Organic and inorganic cosmetics in the preclassical Eastern Mediterranean. Int J Dermatol. 1996;35 (10):751–56. doi:10.1111/j.1365-4362.1996.tb00659.x.
8. Draelos ZD. Special considerations in eye cosmetics. Clin in Dermatol. 2001;19(4):424–30. doi:10.1016/S0738-081X(01)00204-8.
9. Delbeke H, Younas S, Casteels I, Joossens M. Current knowledge on the human eye microbiome: a systematic review of available amplicon and metagenomic sequencing data. Acta Ophthalmol. 2020;99(1):16–25.
10. Murphy O, O’Dwyer V, Lloyd-McKernan A. The effect of lid hygiene on the tear film and ocular surface, and the prevalence of Demodex blepharitis in university students. Cont Lens Anterior Eye. 2020;43(2):159-168. doi:10.1016/j.clae.2019.09.003.
11. Messaoud, R., El Fekih, L., Mahmoud, A., Ben Amor, H., Bannour, R., Doan, S., & Khairallah, M. (2019). Improvement in ocular symptoms and signs in patients with Demodex anterior blepharitis using a novel terpinen-4-ol (2.5%) and hyaluronic acid (0.2%) cleansing wipe. Clinical ophthalmology (Auckland, N.Z.), 13, 1043–1054. https://doi.org/10.2147/OPTH.S198585.
12. Centers for Disease Control and Prevention: Eye Health & Safety https://www.cdc.gov/visionhealth/basics/index.html.
13. Yazdani M, Elgstøen KBP, Utheim TP. Eye Make-up Products and Dry Eye Disease: A Mini Review. Curr Eye Res. 2022;47(1):1-11. doi:10.1080/02713683.2021.1966476.
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