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48 years
My eye lashes are falling out from the middle. What would be the reason? (I dont have any itching or pain)
Jul 30, 2014

Dr. Zakia Dimassi Pediatrics
Alopecia is a term used to describe the absence or loss of hair from any skin area where it should normally exist. Alopecia areata, a relatively common condition of unknown underlying cause, is patchy loss of hair in several areas of the skin, including the scalp, brows, eyelashes, and bearded portion of the face.
Spontaneous loss of eyelashes (that is, not induced by active pulling out) results from diverse conditions including a variety of skin diseases (like Psoriasis, neurodermatitis, ichthyosis, alopecia areata, lichen planus), drug side effects (anticoagulants, anticholesterol drugs, antithyroid drugs, propranolol), endocrine disorders (thyroid or parathyroid gland diseases), trauma (radiation therapy, lid cuts, tattooing), infection (stye), inflammations, toxins, psychiatric disorders, and systemic disease.
You therefore need to be fully evaluated to rule out an underlying condition before judging it is alopecia.
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Dr. Rania Mousa General Medicine
you should know that in the same way that hair on your head regularly falls out and is replaced, all of us regularly lose and regrow eyelashes, too,usually without even noticing it.If the eye lashes loss is noticable there might be a cause for that treating the cause will lead to the treatment of the condition.

The condition of eye lashes loss is also called madarosis
There are many conditions that may cause eye lashes loss such as:

>Inflammation of the eye or any ophthalmic condition might contribute to eye lashes fall ,the most common condition associated with madarosis is chronic blepharitis, a recurring inflammation of the eyelid which has a variety of causes. They include bacterial infections, gland dysfunction, and even rosacea. In some cases, eyelash loss results from repeated inflammation destroying the hair follicles; in other cases, lashes are lost when a person continues to rub their eyes because of the irritation they're experiencing,

in such case If a chronic eye infection is the cause, taking appropriate antibiotics can solve the problem or antihistamine for itching .

>skin problems associated with madarosis are atopic dermatitis (also known as eczema in such case check your makeup products ), seborrheic dermatitis, psoriasis, and post-menopausal frontal fibrosing alopecia (a form of female pattern baldness). In almost all these cases, eyelash loss results from the constant scratching and rubbing in response to the itching sensation brought on by these conditions.

in such case treatments to reduce their effects and stop the itching can be helpful; in other cases treating the infection that's causing the loss of lashes is effective,if the cause from maskara and some makeup products try to avoid them .

>Diffuse hair loss on the scalp, eyebrows, and eyelashes is typical during and after menopause. The loss of estrogen stunts hair growth and can actually cause the destruction of hair follicles, leading to thinner, wispier hairs and lashes.

in such case ,hormone replacement therapy can make all the difference.

>Disorders of the thyroid gland - hyperthyroidism and hypothyroidism - affect hair follicles, causing eyelashes to fall out. An autoimmune disorder called alopecia areata, which is associated with patchy loss of hair, also can lead to this.

in such case diagnosing and treating the underlined condition due to blood tests and results will treat the condition.

>Unfortunately, some medications designed to improve other conditions can cause lashes to fall out. Research shows that oral anti-acne drugs such as isotretinoin, some anti-clotting medications, anti-cholesterol drugs, thyroid balancing drugs, and blood pressure medications have all been connected to madarosis, although in some cases lashes grow back once the medication has been stopped. A special case of eyelash loss occurs during chemotherapy treatment for cancer. Many patients suffer complete loss of all body hair, eyelashes and eyebrows included, but once the chemotherapy is completed, the hair begins to grow back.

in such case check with the doctor for alternative treatments if possible.
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