The goal of this review was to look at current advances in the research of ocular cosmetics, specifically as they relate to unpleasant responses that can be ascribed to them. The most prevalent cause of immunologically mediated adverse responses to cosmetics is sensitization to the preservatives, perfumes, and colours utilised in these items. Metals such as nickel, cobalt, chromium, and lead are utilised in levels larger than the permitted limit of 1 ppm in items such as eye shadows and eye liners, as well as toy cosmetics kits. The bulk of fragrance-induced contact dermatitis is caused by cosmetics. The American Contact Dermatitis Society recently developed a free smartphone app that offers promise for better enabling patients to use their patch test data while shopping for cosmetics.

Cosmetic hypersensitivity responses, both immediate and delayed, are frequently the consequence of sensitization to preservatives, perfumes, and additives in the goods themselves. Despite considerable advancements in our understanding of these responses, further research will be required to clarify the processes behind these reactions and bring this information to the bedside in order to enhance patient care for possible cosmetic-based allergy diseases.