Delayed-hypersensitivity granulomatous reaction induced by blepharopigmentation with aluminum-silicate

Blepharopigmentation has been introduced during the last decade as a techni que for creating a permanent line along the eyelid margin, thus simulating a cosmetic eyeliner. Complications related to this procedure are mostly rep orted in the opthalmologic literature describing infectious, allergic, or t echnical problems. We report a case of a woman mho underwent blepharopigmen tation with aluminum-silicate and in whom a delayed hypersensitivity granul omatous reaction developed.