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Bilateral corneal injury after face-paint application to upper eyelids
  1. Derek Kwun-hong Ho1,2,
  2. Ravi Ramessur3,
  3. Sue Webber2
  1. 1 Cardiff University, Cardiff, UK
  2. 2 Royal Gwent Hospital, Newport, UK
  3. 3 Department of Dermatology, University College London Hospitals, London, UK
  1. Correspondence to Dr Derek Kwun-hong Ho, derek.ho{at}


A 40-year-old woman with no known medical conditions or allergies presented with severely painful, watery eyes and blurred vision. She reported topical application of face-paint onto both upper eyelids prior to attending a Halloween party. She subsequently noticed a burning sensation, epiphora and misty vision within a few hours. On examination, bilateral large corneal epithelial defects were highlighted with fluorescein dye under cobalt-blue light. Antibiotic ointment, mydriatic and sodium ascorbate 10% eye-drops were given, and patient was advised to keep the eyelids shut to promote healing. No corneal defects were visible by day 4 and the patient was discharged with vision recovering to normal levels.

  • ophthalmology
  • dermatology

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  • Contributors DK-hH conceived the study. DK-hH, RR and SW initiated the study design. DK-hH and RR enquired various regional and national bodies for information and advice. DK-hH, RR and SW contributed to the drafting, critical revision and final approval of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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