Severe blepharoconjunctivitis induced by a peeling mask containing trichloroacetic acid.

Purpose: To report a case of severe blepharoconjunctivitis induced by a peeling mask.
Methods: A 32-year-old healthy female was examined one day after undergoing a face-peeling procedure with a mask containing trichloroacetic acid. She complained of severe burning, redness, and epiphora in her left eye that started several hours after the procedure.
Results: Her vision was LE 0.2, RE 0.8. Mild upper eyelid edema of the right eye and severe edema of the left eyelids, LE inferior ectropion, and LE blepharoconjunctivitis were noted. The conjunctiva was severely hyperemic with papillary reaction and chemosis. The corneas, anterior chambers, irides, lenses, and posterior segments were normal. The patient was treated with Dexamethasone 0.1% q2h and ocular lubrication. The reaction subsided after 3-4 days.
Conclusion: Face-peeling masks containing trichloroacetic acid can sometimes severely irritate the eyelids and the ocular surface.