Unexpected effect of eyelash extensions: Study detects mites in nearly all analyzed users
Key facts
- Researchers reported that 85 percent of the participants exhibited indicators of Meibomian gland dysfunction, which impairs oil secretion for eye hydration
- Dr. Tetiana Zhmud from Pirogov National Medical University noted that eyelash extensions are linked to ocular surface issues like irritation and dry eye
- The study suggests that simple hygiene measures, including cleaning eyelashes and treating mite infestations, can make eyelash extensions significantly safer
The study, presented at the 44th Congress of the European Society of Cataract and Refractive Surgeons (ESCRS) in London, United Kingdom, also found that many of the women experienced symptoms of eye irritation. Furthermore, the majority of the participants had issues with the small glands located near the eyelashes, known as Meibomian glands, which secrete an oily substance to prevent the eyes from drying out.
The researchers stated that simple hygiene measures, such as cleaning the eyelashes and treating mite infestations when necessary, could make eyelash extensions significantly safer.
The research was presented by Dr. Tetiana Zhmud, from the Department of Ophthalmology at Pirogov National Medical University in Vinnytsia, Ukraine. In her statement, she noted: "Eyelash extensions are a highly popular cosmetic procedure among young women, as they provide the appearance of longer, fuller lashes without the need for mascara. However, growing evidence suggests that this procedure can cause issues on the ocular surface, including irritation, dry eye, and meibomian gland dysfunction. Nevertheless, the relationship between eyelash extensions and demodicosis remains incompletely understood."
Dr. Zhmud and her colleagues conducted a survey of 345 women aged 16 to 28. The findings revealed that nearly a quarter of the participants had used eyelash extensions at some point. More than half of those who had used the procedure (58%) reported getting them every three to four weeks. Among the women who had used eyelash extensions, nearly half (47.6%) reported experiencing discomfort, redness, tearing, or itching following the procedure.
The research team employed a diagnostic method known as meibography, which utilizes infrared light to visualize the Meibomian glands through the eyelids. Among the participants who had applied eyelash extensions on at least ten occasions, the majority, representing 85 percent of the group, exhibited indicators of Meibomian gland dysfunction. This condition implies that the glands were either blocked or failing to secrete the essential oils required to maintain proper ocular hydration.
Subsequently, the investigators utilized a microscope to analyze lash samples collected from 25 women who regularly used eyelash extensions. In all cases except one, the presence of the skin mite Demodex folliculorum was detected. Furthermore, 18 of the participants displayed characteristic signs of skin irritation associated with these mites, including itching and inflammation around the eyelids, redness, swelling, lashes clumping together, and flaking at the base of the lashes.
Dr. Zhmud noted that the findings do not imply that individuals should entirely forgo eyelash extensions. Instead, the results underscore the critical need for proper eyelid hygiene, an understanding of associated symptoms, and prompt medical assessment when such signs emerge. For optimal maintenance of the extensions, she recommended applying a preservative-free, hypoallergenic gel formulated for therapeutic eyelid cleansing twice daily, using a dedicated lash cleaning brush. In cases where a Demodex infestation is confirmed, antiparasitic therapy may be warranted.
For clinicians, these observations highlight the necessity of considering demodex blepharitis in patients presenting with chronic eyelid irritation, particularly those who regularly use eyelash extensions. For beauty industry professionals, the data can support the formulation of guidelines regarding eyelid hygiene and the importance of advising clients about the potential ocular health risks linked to repeated eyelash extension procedures.
The researchers cautioned that the study was limited in scope and did not include a control group of young women who had not used eyelash extensions. They recommended that future research should encompass a broader cohort, including both users and non-users of extensions, to quantify the presence of mites and to examine how the frequency of extension use correlates with ocular health and the symptoms associated with mite infestations.
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Lashnews take
Salon operators and lash manufacturers must prioritize rigorous hygiene protocols to mitigate the high risk of mite infestation and gland dysfunction. The evidence linking extensions to ocular surface issues demands that brands educate clients on proper aftercare to prevent irritation. Ignoring these health risks could lead to increased customer complaints and reputational damage for service providers.
Frequently asked questions
What did the study presented at the ESCRS congress find regarding mites in eyelash extension users?
The study detected mites in nearly all analyzed users of eyelash extensions. Researchers also found that many participants experienced eye irritation and issues with Meibomian glands.
How prevalent was Meibomian gland dysfunction among the women in the eyelash extension study?
85 percent of the group exhibited indicators of Meibomian gland dysfunction. This condition implies that the glands were blocked or failing to secrete essential oils for ocular hydration.
What hygiene measures do researchers suggest to make eyelash extensions safer for clients?
Researchers state that simple hygiene measures can make eyelash extensions significantly safer. These include cleaning the eyelashes and treating mite infestations when necessary to prevent ocular surface issues.