eye lashes falls out

my eye lashes is falling  out ,,i really have long eye allergy  i been to gp and they said sometime hay fever, some time infection now ,,one os my eyes lashes falls out ,,really worried as doctor  now gave  me series of  blood test .
can u just help me .. could it be eczema.as he frist suggested me eczema ,,,,

[Bhupinder Kaur, MD]

Hello,

Falling of eyelashes is clinically called madarosis.Various possibilities are there for madarosis.One that is quite common is wiping your eyes too vigorously or absent-mindedly pulling the hairs out. Allergic reaction to the eye cosmetics can also be responsible for this symptom.

Other causes are eczema(a form of chronic dermatitis (rash).Allergic reaction is one of the important causes of eczema. Allergic reaction can occur to strong soaps, Solvents, chemicals, certain foods, food additives, plants, metals, cosmetics, even urine and faeces of some animals (dust mites) , blepharitis due to eyelid infections and infection with a mite called D. folliculorum, which can cause swelling and inflammation of the eyelash follicles.
Internal diseases like thyroid conditions,autoimmune diseases and leprosy can also lead to madarosis.

Treatment modalities for all are different.It would be better if you discuss these possibilities with an eyelid specialist (an oculoplastic surgeon).

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any other queries.