The content of kohl and the recipes to prepare it vary greatly between regions. In North Africa and the Middle East, homemade kohl is often made by grinding
galena (
lead sulfide). Western manufacturers use
amorphous carbon or organic
charcoal instead of lead. Plant oils and the soot from various nuts, seeds, and gum
resins are often added to the carbon powder. The non-lead products are considered to be of inferior quality to the older, traditional varieties, and so there has been an increase in the use of handmade, lead-based kohl. For decades, various conflicting reports in literature have been published relating to kohl application to eyes being responsible for causing higher blood lead concentration, which may cause lead poisoning. At the same time, a number of research studies and reports have also been published, refuting any such links to increased blood lead levels upon kohl application. A group of researchers in China tried to find some scientific basis of this claimed property of lead sulfide (galena) relating to absorption of sun rays when applied into the eyes in the form of kohl. The authors reported the ultraviolet (UV) absorption spectra of a thin film of lead sulfide prepared on an
indium tin oxide (ITO) substrate. The spectra showed that thin films of lead sulfide had higher absorption and lower transmittance in the UV light band, which further increases with increased deposition voltage. The drive to eliminate lead from kohl was sparked by studies in the early 1990s of preparations of kohl that found high levels of contaminants, including lead. Lead levels in commercial kohl preparations were as high as 84%. Kohl samples from
Oman and Cairo, analyzed using
X-ray powder diffraction and
scanning electron microscopy, were found to contain galena. One decade later, a study of kohl manufactured in Egypt and India found that a third of the samples studied contained lead, while the remaining two-thirds contained
amorphous carbon, putting its users at risk of
lead poisoning (also called lead intoxication). Complications of lead poisoning include
anemia,
developmental delay, low
IQ,
convulsions, and, in severe cases, death. Anemia from lead poisoning is of special concern in Middle Eastern and South Asian countries where other forms of anemia are prevalent, including
iron deficiency anemia (from malnutrition) and
hemoglobinopathy (
sickle cell anemia,
thalassemia). These banned products are different from lead-free cosmetics that use the term "kohl" only to describe their shade or color rather than its actual ingredients. Some modern eye cosmetics are marketed as "kohl", but are prepared differently and follow relevant health standards. Eye cosmetics such as surma are recognized as one of the important sources of lead exposure in Pakistan. As adverse health effects of
heavy metals are a public health concern, where especially lead may cause negative health impacts to human fetal and infantile development, a study in Pakistan of pregnant women's nails in 2016, showed 13 nail samples out of 84 analyzed contained lead concentrations exceeding the 13.6 μg/g found in a fatal case of lead poisoning. The possibility of an external contamination was excluded. The observations showed that lead-containing surma consists of fine particles of
galena in
a respirable dust range (less than 10 μm), and relative
in vitro bioavailability of lead in the surma was determined as 5.2%. Thus, lead-containing surma consists of inhalable and bioavailable particles, and it contributes to an increased risk of lead exposure. "Blue" kohl is a dark-bluish black pigment composed of lead-based compounds as well as a compound of antimony. The lead-based compounds in kohl are
galena (PbS) – dark grey and gloss,
laurionite (PbCl(OH)) – white,
phosgenite (PbCl)2CO3), and
cerussite (PbCO3) – blue. The antimony-based compound in kohl is
stibnite (Sb2S3) – blue. In January 2010, French researchers reported that the particular heavy eye makeup that ancient Egyptians wore may have had medical benefits. At submicromolar concentrations, the specially-made lead compounds can elicit overproduction of
nitric oxide (NO), which in turn can trigger an enhancement of the immune response. The ancient Egyptians, documented in the
Ebers Papyrus ( 1550 BCE), discuss these compounds within kohl as protective for the eyes. Indeed, kohl was used as both a cosmetic eyeliner and a medicine. There are a number of endemic ocular diseases in the Nile region including
trachoma – which is caused by a chlamydial bacterium and can cause corneal scarring – and conjunctival cicatricial disease, with resulting visual loss. Kohl was used not only as a cosmetic but also as a medicinal
collyrium (from
Greek ). Two of kohl's lead compounds – the lead chlorides laurionite and phosgenite – were not natural to the Nile valley. It is believed they were intentionally synthesized by the ancient Egyptians for this purpose. The widespread use of kohl across the Mediterranean and the Middle East attests to its ability to protect the eye from infectious disease and as well as being used as a cosmetic. A test of kohl's anti microbial properties as found that kohl was especially able to inhibit the growth of
Streptococcus pyogenes, and mildly able to inhibit
Proteus vulgares and
Staphylococcus aureus bacterias.
Legal status In the United States, kohl is not on the list of color additives approved by the
Food and Drug Administration, which considers kohl unsafe for use due to its potential lead content. It is illegal to import into, or sell in, the United States. Kohl is considered unsafe partly due to risk of lead exposure. ==Gallery==