EYE AND EYELID INFECTION AMONG FEMALES USING KAJAL AND MASCARA

Objective: The primary aims of cosmetic survey is to identify the prevalence of use of kajal and mascara in our community, to highlight the eye and eyelid infections among females using kajal and mascara and to identify the prevalence of Cosmetic-induced Eye infections. Methods: A30 questionnaire quantitative and qualitative (mixed approach) method is used. Data of 100 participants is used to describe the variables. Each participant’s score will be summed and calculate the possible points for each answer determining the prevalence of eye infection in females. The frequency of eye cosmetic use is examined and correlated with %age of cosmetic induced eye and eyelid infections. Results: 28% females have developed eyelid infection after using mascara and kajal. 87% females suffered from cosmetic eye infection for 1 day, 10% for 3 days & 3% for 5 days. 80% females view is cosmetic infection occurs due to others eye cosmetics use, 13% due to use of low branded eye cosmetic & 7% due to use of contaminated cosmetic. 40% female treated eye infection with home remedies, 28% females visit the ophthalmologist and 32% shows carelessness. Conclusion: The incidence of cosmetic eye infection will be reduced by use of branded eye cosmetic, removing eye make-up carefully at the end of the day, splashing of water and cleaning of eye regularly. Allergic conjunctivitis (Inflammation of cornea), Iritis/Eye inflammation (Inflammation of iris), Eye dermatitis (Inflammation of skin Eye) and Blepharitis (Inflammation of Eyelids) are the commonly cosmetic induced Eye infection.


INTRODUCTION Human Eye
The human eye is the organ which gives us the sense of sight. Eyelids are structure covering the front of the eye, which protect it, limit the amount of light entering the pupil, and distribute tear film over the exposed corneal surface [1]. Cornea is a transparent front part of the eye that covers the iris, pupil, and anterior chamber and provides most of an eye's optical power. Sclera is anopaque, fibrous, protective outer layer of the eye ("white of the eye"). Iris pigmented tissue lying behind the cornea that gives color to the eye (e.g., blue eyes) and controls amount of light entering the eye by varying the size of the pupillary opening [2] . Retina is a light sensitive nerve tissue in the eye that converts images from the eye's optical system into electrical impulses that are sent along the optic nerve to the brain. Lens is a transparent, biconvex intraocular tissue that helps bring rays of light to a focus on the retina [3]. Lacrimal gland is almond-shaped structure that produces tears. Eye cosmetics can be classified into eyelash cosmetics (Mascara and eyeliner) and eyelid cosmetics. Traditional women use kajal and mascara on the lid margin. There are mainly carbon compounds and surma contains mercury [4]. Various sensitizing preparations in eye cosmetics include: preservatives such as parabens, phenyl mercuric acetate, imidazolidinyl urea, Quarternium 15 or potassium sorbate, antioxidants, butylatedhydroxytoluene, butylatedhydroxy anisole propyl and resinscolophony. Only 4% of reactions have been proven to be due to eye make-up. Cosmetics are regulated under the Drugs and Cosmetics Act 1940 and Rules 1945 which states that there no need to mention the ingredients label on cosmetic packs of less than 60 ml for liquids and 30g for solids and semisolids [5]. This poses a problem for eye cosmetics as they generally come in smaller packs. What one needs to be careful about while buying eye make-up is to avoid products which contain mercury, lead and parabens [5]. These are extremely harmful and their prolonged usage can cause various health hazards and may even lead to blindness [6].

Conjunctivitis (Pink Eye)
Conjunctivitis refers to any inflammatory condition of the membrane that lines the eyelids and covers the exposed surface of the sclera. It is the most common cause of "red eye". Conjunctivitis is commonly caused by bacteria and viruses. Neisseria infection should be suspected when severe, bilateral, purulent conjunctivitis is present in a sexually active adult or in a neonate three to five days postpartum. Conjunctivitis caused by Chlamydia trachomatis or Neisseria gonorrhoeae requires aggressive antibiotic therapy, but conjunctivitis due to other bacteria is usually self-limited [7] Chronic conjunctivitis is usually associated with blepharitis,

Keratitis (Inflammation of Cornea)
Keratitis refers to inflammation of Cornea of Eye. In general, keratitis could be infective and noninfective. Non-infective keratitis may become infective by pathogenic or nonpathogenic microbes and may result in sight-threatening complications. Infective keratitis could also be suppurative and nonsuppurative [8]. Suppurative keratitis is frequently caused by bacteria and fungi. Nonsuppurative infective keratitis could be viral, spirochaetal, parasitic or immune-related stromal necrosis.

Iritis and Eye Inflammation
Iritis is inflammation that affects your eye's iris, the colored ring surrounding your pupil [9]. Iritis often cause by use of contaminated Eye cosmetic (kajal, mascara, eye liner) or toxicity of eye to any chemical ingredient in it. (e.g. lead) Iritis that develops suddenly, over hours or days, is known as acute Iritis.

Eyelid Contact Dermatitis (Eyelid Eczema)
Eyelid contact dermatitis is an inflammatory reaction involving the eyelid skin that is caused by contact with a trigger substance. It may be due to allergy (allergic contact dermatitis) or irritation (irritant contact dermatitis). Eyelid dermatitis is also called eyelid eczema.

Blepharitis (Inflammation of Eyelids)
Blepharitis is an inflammation of the eyelids causing red, irritated, itchy eyelids and the formation of dandruff-like scales and dark scars on eyelashes [10]. The prevalence rates of serious ocular sensitization to cosmetics were 2.2% in Denmark during 1939-58, 4%in France during 1973-80, and 4.4% in the USA. The aims of this research are to examine the impact of Eye cosmetic usage, investigate the migration of eye cosmetic product in eye and tear film, determine the clinical effects of cosmetic on eye & examine the biochemical effects resulting from eye cosmetic application [7].

METHODOLOGY Study Population
The study population should be defined in advance, stating unambiguous inclusion (eligibility) criteria. The impact that these criteria will have on study design, ability to generalize and participant recruitment must be considered. Participants were asked to check off the answers that applied to them in the questionnaire. A survey is used as a means of data collection because it provided the best possible way to determine the awareness of female regarding the use of cosmetics. The responses elicited will be coded from a point scale of A & B.A meaning, yes or the most likely it is to develop an infection B meaning, least or No likely it is to develop an infection. Each participant's score will be summed. After factoring in the recommended procedures for using makeup and calculating the possible points for each answer determining the prevalence of Eye infection in specific calculated no. of female population.

Questionnaire Detail
The survey comprise of 30 questionnaire having 4 sections. All the questions are arranged in proper way in logical manner and analytical form.

CONCLUSION
Every year, many women end up with eye infections from cosmetics. In rare cases, women have been temporarily or permanently blinded by an eye cosmetic, according to the FDA. There are some recommendations to keep eyes healthy as well as beautiful: Throw away eye makeup after three months. Infection-causing bacteria grow easily in creamy or liquid eye makeup. Never share eye makeup. Avoid products that contain untested or harmful chemicals. Before applying makeup, be sure your face and eyelids are very clean. Never apply makeup while in a moving vehicle. Glitter eye makeup is a common cause of corneal irritation or infection, especially in contact lens users. Remove all eye makeup at night before sleeping, especially mascara that can stick to the lashes. Brush a clean cotton swab along the base of the eyelashes to remove all makeup remnants. Thoroughly rinse remover off your eyelids.