{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:19:58Z","timestamp":1760239198437,"version":"build-2065373602"},"reference-count":52,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T00:00:00Z","timestamp":1603324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Many East Asians apply double eyelid tape to create the double eyelid effect temporarily as a means of increasing their beauty. This study evaluated the effects of four-week wear of double eyelid tape on anterior ocular health in young adult women with single eyelids. Twenty-nine participants who met the inclusion criteria were recruited. The participants\u2019 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. 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 parameters were re-measured at the end of each week. 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. By week 3, all participants had incomplete blinks. There was no significant change in symptoms and subjective comfort level reported. 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.<\/jats:p>","DOI":"10.3390\/ijerph17217701","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T10:27:58Z","timestamp":1603362478000},"page":"7701","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Double Eyelid Tape Wear Affects Anterior Ocular Health among Young Adult Women with Single Eyelids"],"prefix":"10.3390","volume":"17","author":[{"given":"Pui Theng","family":"Yong","sequence":"first","affiliation":[{"name":"Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norlaili","family":"Arif","sequence":"additional","affiliation":[{"name":"Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0734-5151","authenticated-orcid":false,"given":"Sharanjeet","family":"Sharanjeet-Kaur","sequence":"additional","affiliation":[{"name":"Centre for Rehabilitation &amp; Special Need Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0298-7497","authenticated-orcid":false,"given":"Mohd Izzuddin","family":"Hairol","sequence":"additional","affiliation":[{"name":"Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1055\/s-0035-1556852","article-title":"The Asian eyelid: Relevant anatomy","volume":"29","author":"Kiranantawat","year":"2015","journal-title":"Semin. Plast. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1007\/s00266-012-9937-7","article-title":"Biometric study of eyelid shape and dimensions of different races with references to beauty","volume":"36","author":"Rhee","year":"2012","journal-title":"Aesthetic Plast. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1097\/01.prs.0000304608.33432.67","article-title":"Anthropometry of Asian eyelids by age","volume":"121","author":"Park","year":"2008","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1097\/ICU.0000000000000075","article-title":"Update on Asian eyelid anatomy and clinical relevance","volume":"25","author":"Saonanon","year":"2014","journal-title":"Curr. Opin. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1055\/s-0029-1224798","article-title":"Asian blepharoplasty","volume":"23","author":"Nguyen","year":"2009","journal-title":"Semin. Plast. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"14819","DOI":"10.1038\/s41598-017-14829-4","article-title":"The prevalence of double eyelid and the 3D measurement of orbital soft tissue in malays and chinese","volume":"7","author":"Lu","year":"2017","journal-title":"Sci. Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1007\/s00266-010-9606-7","article-title":"Attractive composite faces of different races","volume":"34","author":"Rhee","year":"2010","journal-title":"Aesthetic Plast. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1080\/17475759.2014.917432","article-title":"The globalization of beauty: How is ideal beauty influenced by globally published fashion and beauty magazines?","volume":"43","author":"Yan","year":"2014","journal-title":"J. Intercult. Commun. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1080\/17544750.2012.723387","article-title":"A Chinese beauty story: How college women in China negotiate beauty, body image, and mass media","volume":"5","author":"Zhang","year":"2012","journal-title":"Chin. J. Commun."},{"key":"ref_10","unstructured":"Johansson, P. (1998). Chinese Women and Consumer Culture: Discourses on Beauty and Identity in Advertising and Women\u2019s Magazines, Stockholms Universitet."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/S0140-6736(04)15832-7","article-title":"China\u2019s cosmetic surgery craze","volume":"363","author":"Watts","year":"2004","journal-title":"Lancet"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"7968","DOI":"10.1016\/j.actbio.2013.04.011","article-title":"Mechanical analysis of eyelid morphology","volume":"9","author":"Zhu","year":"2013","journal-title":"Acta Biomater."},{"key":"ref_13","unstructured":"Clavin, H.D. (1987). Cosmetic Tape, Applicator Therefor and Method. (No: 4,653,483), U.S. Patent."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1097\/ICL.0000000000000181","article-title":"Impact of eye cosmetics on the eye, adnexa, and ocular surface","volume":"42","author":"Ng","year":"2016","journal-title":"Eye Contact Lens"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/j.1475-1313.2012.00944.x","article-title":"Eye cosmetic usage and associated ocular comfort","volume":"32","author":"Ng","year":"2012","journal-title":"Ophthalmic Physiol. Opt."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1097\/00003226-199004000-00018","article-title":"Corneal trauma and infection caused by manipulation of the eyelashes after application of mascara","volume":"9","author":"Wilson","year":"1990","journal-title":"Cornea"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s40135-013-0009-1","article-title":"Dry eye disease: Impact on quality of life and vision","volume":"1","author":"Uchino","year":"2013","journal-title":"Curr. Ophthalmol. Rep."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1038\/eye.2010.67","article-title":"Impact of symptomatic dry eye on vision-related daily activities: The Singapore Malay Eye Study","volume":"24","author":"Tong","year":"2010","journal-title":"Eye"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/02713683.2010.519850","article-title":"Anxiety and depression in patients with dry eye syndrome","volume":"36","author":"Li","year":"2011","journal-title":"Curr. Eye Res."},{"key":"ref_20","first-page":"32","article-title":"Associations between dry eye symptoms with tear film stability, volume, and osmolarity in a sample of young adults in Kuala Lumpur","volume":"10","author":"Ahmad","year":"2018","journal-title":"Sudan J. Paediatr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"179","DOI":"10.3109\/02713683.2015.1007211","article-title":"Incomplete blinking may attribute to the development of meibomian gland dysfunction","volume":"41","author":"Wan","year":"2016","journal-title":"Curr. Eye Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/ACI.0000000000000474","article-title":"Cosmetics and ocular allergy","volume":"18","author":"Norris","year":"2018","journal-title":"Curr. Opin. Allergy Clin. Immunol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S1542-0124(12)70031-9","article-title":"Ocular effects of cosmetic products and procedures","volume":"4","author":"Coroneo","year":"2006","journal-title":"Ocul Surf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Okura, M., Kawashima, M., Katagiri, M., Shirasawa, T., and Tsubota, K. (2015). New eye cleansing product improves makeup-related ocular problems. J. Ophthalmol., 2015.","DOI":"10.1155\/2015\/831628"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1097\/01.icl.0000224551.58399.9a","article-title":"Blinking patterns and corneal staining","volume":"32","author":"Collins","year":"2006","journal-title":"Eye Contact Lens"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Kawashima, M., and Tsubota, K. (2013). Tear lipid layer deficiency associated with incomplete blinking: A case report. BMC Ophthalmol., 13.","DOI":"10.1186\/1471-2415-13-34"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1080\/02713683.2017.1381270","article-title":"Blink: Characteristics, controls, and relation to dry eyes","volume":"43","author":"Rodriguez","year":"2018","journal-title":"Curr. Eye Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"E106","DOI":"10.1097\/OPX.0b013e318194e962","article-title":"Blinking and tear break-up during four visual tasks","volume":"86","author":"Himebaugh","year":"2009","journal-title":"Optom. Vis. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1097\/IOP.0b013e3181ab443e","article-title":"Ocular manifestations of long-term mascara use","volume":"25","author":"Ciolino","year":"2009","journal-title":"Ophthal. Plast. Reconstr. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1159\/000371852","article-title":"Pilot study of the influence of eyeliner cosmetics on the molecular structure of human meibum","volume":"53","author":"Hunter","year":"2015","journal-title":"Ophthalmic Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.clae.2019.04.015","article-title":"The role of ethnicity versus environment in tear film stability: A pilot study","volume":"42","author":"Wang","year":"2019","journal-title":"Cont. Lens. Anterior Eye"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jtos.2018.09.005","article-title":"Ethnic differences between the Asian and Caucasian ocular surface: A co-located adult migrant population cohort study","volume":"17","author":"Craig","year":"2019","journal-title":"Ocul. Surf."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1097\/00006324-199310000-00009","article-title":"Age, gender, and tear break-up time","volume":"70","author":"Cho","year":"1993","journal-title":"Optom. Vis. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.jtos.2018.06.001","article-title":"Impact of blinking on ocular surface and tear film parameters","volume":"16","author":"Wang","year":"2018","journal-title":"Ocul. Surf."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"232","DOI":"10.4103\/JOCO.JOCO_70_20","article-title":"Effect of smoking on tear stability and corneal surface","volume":"32","author":"Mohidin","year":"2020","journal-title":"J. Curr. Ophthalmol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"35","DOI":"10.17576\/jskm-2019-1702-04","article-title":"Tear Stability, Corneal Staining and Dry Eye Symptoms in Contact Lens Wearers","volume":"17","author":"Mohidin","year":"2019","journal-title":"J. Sains Kesihatan Malaysia (Malaysian J. Health Sci.)"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e264","DOI":"10.1097\/OPX.0000000000000649","article-title":"Relationships among tear film stability, osmolarity, and dryness symptoms","volume":"92","author":"Yeh","year":"2015","journal-title":"Optom. Vis. Sci."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0161-6420(99)00027-5","article-title":"The effects of long-term contact lens wear on corneal thickness, curvature, and surface regularity","volume":"107","author":"Liu","year":"2000","journal-title":"Ophthalmology"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"385","DOI":"10.5301\/ejo.5000592","article-title":"Assessment of modifications in thickness, curvatures, and volume upon the cornea caused by disposable soft contact lens wear","volume":"25","year":"2015","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/2008-322X.183921","article-title":"Corneal biomechanical changes following toric soft contact lens wear","volume":"11","author":"Hashemi","year":"2016","journal-title":"J. Ophthalmic. Vis. Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"166","DOI":"10.4274\/tjo.53486","article-title":"Does Long-term Soft Contact Lens Wear Affect Corneal and Anterior Chamber Parameters?","volume":"48","year":"2018","journal-title":"Turk. J. Ophthalmol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.clae.2012.07.005","article-title":"Transport and interaction of cosmetic product material within the ocular surface: Beauty and the beastly symptoms of toxic tears","volume":"35","author":"Malik","year":"2012","journal-title":"Cont. Lens. Anterior Eye."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s00417-009-1073-y","article-title":"Penetrating eye injury caused by eyelash curlers\u2014A cause for concern?","volume":"248","author":"Ramasamy","year":"2010","journal-title":"Graefes. Arch. Clin."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"801","DOI":"10.17576\/jsm-2020-4904-09","article-title":"Meibomian Gland Dropout and Ocular Surface Appearances of Young Adults in Kuala Lumpur (Kehilangan K elenjar Meibomian dan C iri P ermukaan O kular D ewasa M uda di Kuala Lumpur)","volume":"49","author":"Maidin","year":"2020","journal-title":"Sains. Malays."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S1542-0124(12)70040-X","article-title":"Patient-reported symptoms in dry dye disease","volume":"4","author":"Nichols","year":"2006","journal-title":"Ocul. Surf."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1111\/j.1600-0420.2007.00939.x","article-title":"Effect of intravitreal injections and volume changes on intraocular pressure: Clinical results and biomechanical model","volume":"85","author":"Kotliar","year":"2007","journal-title":"Acta Ophthalmol. Scand."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s10484-017-9385-x","article-title":"Could white coat ocular hypertension affect to the accuracy of the diagnosis of Glaucoma? Relationships between anxiety and intraocular pressure in a simulated clinical setting","volume":"43","author":"Sanz","year":"2018","journal-title":"Appl. Psychophysiol. Biofeedback"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Yan, Y., Zhou, Y., Zhang, S., Cui, C., Song, X., Zhu, X., and Fu, Y. (2020). Impact of full-incision double-eyelid blepharoplasty on tear film dynamics and dry eye symptoms in young Asian females. Aesthetic Plast. Surg., 1\u20138.","DOI":"10.1007\/s00266-020-01874-0"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ajo.2014.03.016","article-title":"Dynamic changes of tear fluid after cosmetic transcutaneous lower blepharoplasty measured by optical coherence tomography","volume":"158","author":"Shao","year":"2014","journal-title":"Am. J. Ophthalmol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1001\/archopht.118.5.615","article-title":"Reliability and validity of the ocular surface disease index","volume":"118","author":"Schiffman","year":"2000","journal-title":"Arch. Ophthalmol."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Perry, J.D. (2020). Invited Discussion on: Impact of Full-Incision Double-Eyelid Blepharoplasty on Dry Eye Symptoms in Young Asian Patients. Aesthetic Plast. Surg., 1\u20132.","DOI":"10.1007\/s00266-020-01936-3"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7701\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:25:45Z","timestamp":1760178345000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,22]]},"references-count":52,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["ijerph17217701"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17217701","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2020,10,22]]}}}