Loss of eyelashes, complete, unilateral or bilateral

Loss of eyelashes, complete, unilateral or bilateral

Loss of eyelashes, whether complete, unilateral (affecting one eyelid), or bilateral (affecting both eyelids), refers to the absence or significant reduction of eyelash hair. It can be a distressing condition as eyelashes play a vital role in protecting the eyes and enhancing their aesthetic appearance.

Causes of loss of eyelashes

Alopecia Areata

An autoimmune condition where the immune system mistakenly attacks the hair follicles, including those of the eyelashes, leading to their loss.

Trichotillomania

A psychological disorder characterized by an irresistible urge to pull out one's hair. In cases where individuals compulsively pull out their eyelashes, it can result in their complete or partial loss.

Infections

Certain infections, such as blepharitis (eyelid inflammation) or mite infestation (demodex), can cause inflammation and damage to the eyelash follicles, resulting in loss of eyelashes.

Allergic Reactions

Allergic reactions to cosmetics, makeup products, or adhesives used for false eyelashes or eyelash extensions can lead to eyelash loss.

Chemotherapy

Certain chemotherapy drugs used to treat cancer can cause temporary hair loss, including eyelashes. Once the treatment is completed, eyelash growth typically resumes.

Symptoms of loss of eyelashes

• Absence or sparse appearance of eyelashes.
• Altered or asymmetrical appearance of the eyes.
• Increased sensitivity to light and foreign particles.
• Emotional distress or self-consciousness about the eyelash loss.
• Potential complications, such as increased eye dryness or irritation.

Diagnosis of loss of eyelashes

Medical History

The healthcare provider will inquire about the onset, duration, and progression of eyelash loss, as well as any relevant medical conditions or treatments.

Physical Examination

A thorough examination of the eyelashes, eyelids, and surrounding areas will be conducted to assess the extent of eyelash loss and identify any underlying eyelid conditions or abnormalities.

Allergy Testing

If an allergic reaction is suspected, patch testing or other allergy tests may be performed to identify specific allergens causing the eyelash loss.

Blood Tests

Blood tests may be recommended to evaluate hormone levels, thyroid function, or markers of autoimmune conditions, as these can be associated with eyelash loss.

Consultation with an Ophthalmologist or Dermatologist

If the underlying cause of eyelash loss is not apparent, a referral to an ophthalmologist or dermatologist may be made for further evaluation and specialized testing.