J Korean Ophthalmol Soc.  2020 Feb;61(2):146-152. 10.3341/jkos.2020.61.2.146.

The Effect of Eyeliner Tattoo on Meibomian Gland Dysfunction and the Ocular Surface

Affiliations
  • 1The Institute of Ophthalmology and Optometry, Department of Ophthalmology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea. hkeoph@gmail.com
  • 2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3The Institute of Ophthalmology and Optometry, Department of Ophthalmology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
To determine whether eyeliner tattoo affects the meibomian gland (MG) and ocular surface.
METHODS
The medical charts of an eyeliner tattoo group (16 eyes of 8 patients) and a control group (16 eyes of 18 patients) were retrospectively reviewed. The ocular surface disease index questionnaire, ocular surface staining score, tear film break-up time (TBUT), upper eyelid abnormality, meibum expressibility and quality, and MG loss and tear film lipid layer thickness (LLT) which measured with LipiView® (TearScience, Morrisville, NC, USA) were compared. In the tattoo group, the correlation between the distance from the MG orifice to the tattoo pigment and other indices were analyzed.
RESULTS
Compared to controls, the tattoo group had a significantly higher ocular surface disease index (p = 0.002), shorter TBUT (p < 0.001), higher vessel engorgement of the upper lid (p = 0.016), poorer meibum expressibility and quality (p = 0.006 and p < 0.001, respectively), higher MG loss (p < 0.001), and thinner LLT (p = 0.024). In the tattoo group, the closer the tattoo was to the MG orifice, the more the upper lid vessel was engorged and the more MG loss occurred (r(s) = −0.560, p = 0.024; r(s) = −0.563, p = 0.023, respectively), and a thinner LLT was observed (r(s) = 0.567, p = 0.022).
CONCLUSIONS
Eyeliner tattoos may be related to changes in the lid margin, loss of the MG, and thinning of the LLT.

Keyword

Dry eye syndrome; Eyeliner tattoo; Meibomian gland; Tear film lipid layer thickness
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