Fig milk (Ficus carica) exposure and eye health: A case series highlighting risks and pharmacological potential

Abstract: Ficus carica (fig) has long been used in traditional medicine, but its effects on the eye remain largely undocumented in the scientific literature. This case series describes four patients who developed ocular surface reactions following exposure to raw fig milk. Two patients applied fig milk directly to their eyes for relief of ocular discomfort; one used it on the periocular area, and one was exposed accidentally while harvesting figs. All patients presented within 24 h of exposure and were examined with slit-lamp biomicroscopy and fluorescein staining. Findings included eyelid edema, conjunctival hyperemia, follicular conjunctivitis, and punctate epitheliopathy, with no significant corneal involvement. Treatment with topical corticosteroids (loteprednol for the ocular surface and hydrocortisone for periocular skin) and artificial tears led to full recovery within 2 weeks without complications. These cases underscore the potential ocular hazards of fig milk despite its traditional use, highlighting the need for public awareness and further clinical research into its safety and applications in ophthalmology.