A study presented at the 44th Congress of the European Society of Cataract and Refractive Surgeons has found that 96% of women who regularly use eyelash extensions are infested with Demodex mites. These microscopic, eight-legged parasites normally live on human skin but can proliferate in the lash line, feeding on dead skin cells and dried glue from extensions.

The research, led by ophthalmologist Dr. Tetiana Zhmud from the National Pirogov Memorial Medical University in Ukraine, surveyed 345 women aged 16 to 28. Approximately half of the participants reported having eyelash extensions every three to four weeks. Of these, 48% experienced discomfort, redness, or itching.

Eyelash Extension Risks

Ophthalmologists are increasingly warning about the potential issues associated with eyelash extensions. The study utilized meibography, an infrared light technique, to examine oil-producing glands in the eyelids. Results showed that 85% of women who had extensions at least ten times had blocked glands or insufficient oil production, which can lead to dry eyes.

Further analysis involved examining eyelash samples from 25 regular extension users. Mites were found on 96% of these samples. Additionally, 18 women exhibited symptoms such as itching, irritation, redness, swelling, scaly skin, and sticky eyelashes. These symptoms can be indicative of demodicosis, a condition triggered when mites irritate follicles and block oil glands.

While Demodex mites are common and usually harmless, excessive accumulation can lead to painful eye infections. The presence of eyelash extensions can also make these mites harder to detect. Professor Sorcha Ni Dhubhghaill, chair of the ESCRS Cornea Committee, noted that the glue from extensions can obscure the 'collarettes' – waxy rings of dead mites, eggs, and debris that typically signal an infestation.

Dr. Zhmud emphasized the importance of good hygiene and prompt medical assessment for any concerning symptoms. She recommends that individuals using eyelash extensions clean their eyelids twice daily with a gentle cleanser and lash brush to mitigate risks.