more than 5 lashes falling from each eyes

Just a few days ago, I've been losing more than the usual eyelashes. My eyelashes always falls out and eventually get into my eyes but I still have a lot of lashes. Lately, I have been losing a lot to where I should be getting worried. I woke up yesterday morning, washed my face and I literally had 6 pieces of lashes falling from my left eye, one after the other..4 getting in my eye. I washed my face again tonight and had more falling from my right. Is it normal? Could it be that my lashes are shedding old lashes to grow longer and healthier one? I'm worried.

[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).

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.