Delhi Journal of Ophthalmology

An Unusual Case of Surma (Eye Cosmetic) Induced Conjunctival and Scleral Ulceration

Chandana Chakraborti1, Nabanita Barua2, Ajoy Kr Saha3, Rupanjili Lakra3
1Department of Ophthalmology, Regional Institute of Ophthalmology,  Medical College and Hospital, West Bengal, India
2Department of Ophthalmology, Deben Mahata Medical College and Hospital, Purulia, West Bengal, India
3Department of Ophthalmology, North Bengal Medical College (NBMCH) Siliguri, West Bengal, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Nabanita Barua 
Assistant Professor, Department of Ophthalmology
Deben Mahata Medical College and Hospital, Purulia, West Bengal, India

Received: 16-SEP-2020 Accepted: 08-MAY-2021 Published Online: 05-OCT-2021

Surma is traditionally applied to conjunctiva and eyelids for cosmetic purpose in many centuries. It contains preservatives and additives like lead, nickel, mercury that can lead to dry eye, blepharitis, allergic conjunctivitis, iritis and periocular dermatitis. We report a case of “surma” induced conjunctival & partial thickness scleral ulceration in a 60 years old female. She presented with sudden swelling and burning sensation in right eye after applying ‘surma’ in her right eye. Conjunctival and scleral ulceration was noted subsequently. She was treated conservatively with topical and oral steroid. This unusual complication of surma is not documented in literature.

Keywords :Surma, Sterile Ulcer, Sclera, Conjunctiva