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A Somali woman with indha kuul ("kohl eyes") Usage of kohl eye paint in the Horn of Africa dates to the ancient Kingdom of Punt. [4] Somali, Djiboutian, Ethiopian, and Eritrean women have long applied kohl (kuul) for cosmetic purposes, as well as to cleanse the eyes, lengthen eyelashes, and to protect the eyes from the sun's rays. [14] [15]
The eyelid may not protect the eye as effectively, allowing it to dry. Sagging upper eyelids can partially block the field of view. Obstructed vision may necessitate tilting the head backward to speak. The areas around the eyes may become tired and achy. Eyebrows may be constantly lifted to see properly. Some of the risk factors for ptosis include:
Using an eye crutch usually results in patients being unable to blink completely, which may lead to dry eyes. [7] A doctor may recommend eye drops for those with ptosis. [3] Sensitivity to metals are a concern as well; it is helpful if eye crutches are made with non-allergenic metals, such as titanium/nickel alloys. [5] Ptosis crutches should ...