Eye Cosmetics and Ocular Surface Diseases: An Emerging Concern in Modern Aesthetic Practices

Eye cosmetics, including eyeliners, mascaras, eyeshadows, and eyebrow products, are widely used to enhance the aesthetic appearance of the eyes. While generally considered safe, their application to the delicate periocular region can pose significant risks to ocular surface health. Growing clinical and experimental evidence links the use of eye cosmetics to ocular surface disorders, including blepharitis, conjunctivitis, dry eye syndrome, and meibomian gland dysfunction. These adverse effects may result from mechanical irritation, chemical exposure, microbial contamination, or allergic reactions associated with cosmetic ingredients such as pigments, preservatives, emulsifiers, and fragrances. In addition, emerging periocular aesthetic procedures and novel formulations containing nanoparticles and complex additives may further contribute to ocular surface instability and inflammation. The growing popularity of eye cosmetics, influenced by social media, cultural trends, and the global beauty industry, underscores the importance of understanding their impact on ocular health. Thus, this review provides a comprehensive overview of the composition, types, ocular migration, and potential adverse effects of eye cosmetics and periocular aesthetic practices. By highlighting the clinical implications of cosmetic use on the ocular surface, this study emphasizes the need for evidence-based guidance, safe cosmetic practices, and further research to mitigate lifestyle-related ocular risks.