Full-thickness eyelid penetration during cosmetic blepharopigmentation causing eye injury

J Cosmet Dermatol. 2008 Mar;7(1):35-8. doi: 10.1111/j.1473-2165.2008.00340.x.


Purpose: This paper aims to present a case of iatrogenic injury to the globe during cosmetic eyelid blepharopigmentation (tattooing).

Design/methods: Observational case report.

Results: A 46-year-old Asian female presented with chemosis and injection of the conjunctiva one day following cosmetic blepharopigmentation. The tattoo needle had penetrated full-thickness through the lid margin, resulting in a line of pigment along the superior bulbar conjunctiva with an associated inflammatory reaction. The conjunctivitis resolved with treatment, but the pigment remained.

Conclusion: Physicians should be aware of the potential complications of cosmetic tattooing. Some measures for the prevention of iatrogenic injury are suggested.

Publication types

  • Case Reports

MeSH terms

  • Coloring Agents / adverse effects*
  • Conjunctiva / pathology
  • Conjunctival Diseases / etiology*
  • Conjunctival Diseases / pathology
  • Eye Injuries, Penetrating / etiology*
  • Eyelids / injuries
  • Eyelids / pathology
  • Female
  • Humans
  • Iatrogenic Disease*
  • Middle Aged
  • Tattooing / adverse effects*


  • Coloring Agents