Inclusion criteria included having single eyelids and having not used a double eyelid tape for the past six months.Īll participants received written and oral information about the study and gave informed consent. Participants were females of Chinese ancestry, aged between 18–29 years old recruited via purposive sampling. Thus, the current study was conducted to determine: (1) blinking characteristics (blink pattern and blink rate), (2) ocular surface health (presence of corneal abrasion, corneal staining, conjunctival staining, corneal curvatures, Meibomian gland dysfunction), (3) tear break-up time, (4) intraocular pressure, and (5) subjective comfort level, all in young females with single eyelid, wearing double eyelid tape for four weeks. Although the adverse effects of conventional eye cosmetics have been reported, there are no published data on the effects of prolonged wear of double-sided eyelid tape on anterior ocular health and comfort. As ocular health and comfort are associated with one’s quality of life, the use of double eyelid tape raises questions as to whether it alters the user’s blinking pattern thus leading to lipid deficiency dry eye syndrome, or changes in corneal curvature and intraocular pressure (IOP) due to a possible compression from the artificially created eyelid fold. The use of conventional eye cosmetics, such as mascara, is known to cause ocular discomfort such as dry eyes with various ocular complications including corneal trauma. This is better than surgical procedures, i.e., blepharoplasty, to achieve the double eyelid effect, as the tape can be removed, and the effect is not permanent. The second type uses double-sided eyelid tape or liquid glue, which creates a fold by attaching to the eyelid skin. It can be categorized into two main types: single-sided and double-sided. ĭouble eyelid ‘makeup’ is commonly used by Asians to create an artificial fold on the upper eyelid thus creating the double eyelid effect temporarily. Therefore, cosmetic products or surgical approaches are sought after by East Asians to obtain this ideal image. Due to the influence of westernizing trends among eastern cultures, big and round eyes became an ideal image for Asian females. ĭifferent ethnicities may have different views on standards of beauty. The prevalence of Asians born with double eyelid is 50%, while the prevalence of double eyelid among Malaysians with Malay and Chinese ethnicity is 100% and 70.1%, respectively. These can be differentiated through external observation: single eyelid has no apparent lid crease, low eyelid crease has a low-seated, nasal tapered crease with hidden fold, and double eyelid has a well-formed supra-tarsal crease. The appearances of the ‘East Asian eyelid’ can be categorized into three main categories: single eyelid, low eyelid crease, and double eyelid. People with Chinese ancestry can be easily recognized by the unique appearance of the eye as they have a narrower vertical palpebral fissure and an absence of a supra-tarsal fold compared to other races. Therefore, patients and eye care practitioners should be aware of the potential implications of double eyelid tape wear on ocular health, with no significant change in subjective comfort.įacial structure and appearance can be distinguished between different ethnicities due to genetics. There was no significant change in symptoms and subjective comfort level reported. By week 3, all participants had incomplete blinks. There was a significant increase in conjunctival staining, corneal staining, and meibomian gland dysfunction, with a significant reduction in tear break-up time and intraocular pressure. The parameters were re-measured at the end of each week. Participants were required to apply the double eyelid tape for at least eight hours a day and five days a week for four weeks. The participants’ anterior ocular health was examined including blinking characteristics (blink pattern and blink rate), ocular surface health (presence of corneal abrasion, corneal staining, conjunctival staining, corneal curvatures, meibomian gland dysfunction), tear break up time, intraocular pressure, and subjective comfort level. Twenty-nine participants who met the inclusion criteria were recruited. This study evaluated the effects of four-week wear of double eyelid tape on anterior ocular health in young adult women with single eyelids. Many East Asians apply double eyelid tape to create the double eyelid effect temporarily as a means of increasing their beauty.
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