Management of Hypotrichosis of the Eyelashes

The document discussed the management of hypotrichosis of the eyelashes, focusing on the use of bimatoprost ophthalmic solution 0.03%. Originally approved for ocular hypertension, bimatoprost was found to effectively increase eyelash growth in terms of length, thickness, and darkness when applied once daily to the upper eyelid margin. The treatment's effectiveness was supported by clinician ratings, digital image analysis, and patient satisfaction reports. The positive effects were attributed to longer anagen duration, increased hair bulb thickness, and increased melanogenesis. Additionally, dermal application of bimatoprost was associated with fewer adverse events compared to its use as an eyedrop, likely due to reduced ocular tissue exposure. Overall, the data suggested that bimatoprost is a safe and effective option for enhancing upper eyelash growth.