An eyelash in the eye is a common experience, usually causing temporary irritation. While eyelashes protect the eyes from debris, one can occasionally dislodge and enter the eye, causing a foreign body sensation.
Immediate Sensations and Minor Irritation
When an eyelash enters the eye, it causes an immediate foreign body sensation, often described as fluttery, gritty, or sharp. This triggers reflex tearing and increased blinking, as the eye attempts to naturally flush out the irritant. Mild redness or discomfort may also occur. These reactions are common and usually resolve quickly once the eyelash is removed. The sensation of something being in the eye can sometimes persist for up to 24 hours, even after it’s gone.
How Eyelashes Can Cause Harm
While often harmless, a persistent eyelash can cause minor damage. The eye’s surface, particularly the cornea, is delicate. An eyelash can scratch the cornea, leading to a corneal abrasion. This scratch can be irritating and may make the eye more susceptible to infection.
Repeated rubbing of the eye can worsen corneal damage or push the eyelash deeper. If bacteria are introduced, from the eyelash or unwashed hands, it can lead to infections such as conjunctivitis, also known as pink eye. Conjunctivitis is an inflammation of the conjunctiva, the clear membrane covering the white part of the eye and inner eyelid. In some cases, prolonged irritation can lead to a corneal ulcer.
Steps for Safe Removal
Begin by thoroughly washing your hands with soap and water to prevent introducing bacteria into the eye. If you wear contact lenses, remove them before attempting removal.
First, try blinking repeatedly to encourage natural tears to flush out the eyelash. If blinking alone is not effective, use artificial tears or clean, lukewarm water to rinse the eye. You can immerse the eye in a small, clean cup of water, or tilt your head and pour water into the inner corner. If the eyelash is visible on the white part of the eye or along the eyelid, a moist cotton swab or the corner of a clean tissue can gently brush it away. Avoid rubbing your eye vigorously or using sharp objects like tweezers, as this can cause further damage.
When Professional Help is Needed
Seek professional medical attention if you experience persistent pain, worsening redness, or a feeling that something is still in your eye after attempting removal. Other concerning signs include blurred vision, increased sensitivity to light, or any yellow or green discharge from the eye.
If the eyelash appears embedded in the eye, or if there is bleeding, immediate medical help is necessary. These symptoms could indicate a more serious injury, such as a deep corneal abrasion or a penetrating injury, requiring specialized treatment to prevent long-term complications.