Diseases of Periocular Hair

September 2011 in “ Survey of Ophthalmology ”

Bobeck S. Modjtahedi, Ali Alikhan, Howard I. Maibach, Ivan R. Schwab

TLDR The document concludes that periocular hair disorders have various causes and treatments, and proper evaluation by specialists is important for management and prognosis.

The document from September-October 2011 provides a detailed overview of periocular hair disorders, including both hypertrichosis (excessive hair growth) and hair deficiencies such as madarosis (loss of eyelashes and eyebrows). It discusses congenital and acquired causes, ranging from genetic syndromes to medication side effects, and outlines various treatment options, including laser hair removal and bimatoprost solution. The paper also explores conditions like trichotillomania (hair loss due to repeated rubbing) and trichiasis (misdirection of eyelashes towards the eye), which can lead to serious complications like corneal irritation. Additionally, it addresses changes in hair color, such as poliosis (localized white hair), and emphasizes the importance of thorough evaluation by an ophthalmologist and dermatologist due to the potential indication of systemic or localized pathology. The prognosis for these conditions can vary widely, and the document was partially sponsored by a grant from Research to Prevent Blindness.

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