Cilium incarnatum externum.

Two patients presented with a complaint of cosmetic blemish over their left eyelid. On slit lamp, we found a completely subcutaneously erupting and coursing eyelash. As per the request of a patient, it was removed. The other patient was lost to follow up [Fig. 1].

Figure 1

Upper row depicting the slit-lamp image of the condition, the other image is of the removed cilium. Lower row depicts slit-lamp and torch-light examination of another patient

The lash can grow either subconjunctivally (cilium incarnatum internum) or subcutaneously (cilium incarnatum externum)[1] Etiological factors include local pathologies,[234] heredity, and frequent rubbing of the eyelids.

It may be mistaken for a nodule or a comedo.[3] Another complaint can be pricking on rubbing eyelids. Hardly any reports have been there after the one in 2017.[5]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for the images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.