Perioperative Exposure Keratopathy and Corneal Abrasion in an Individual With Eyelash Extensions

Eyelash extensions are a common cosmetic procedure. However, they are not without risk. In the perioperative context, this may involve a risk of exposure to keratopathy due to corneal surface vulnerability, physical irritation, and/or inadequate eyelid closure. This case documents a patient with dry eye disease likely secondary to their eyelash extensions who subsequently suffered a corneal abrasion with associated morbidity during a routine anesthetic. Furthermore, this case highlights both the importance of preoperative counseling regarding the removal of eyelash extensions in the elective setting and the need for further strategies to mitigate the risk of corneal injuries in these patients.