Rubbing aggravates eyelid eczema

Medial eyebrows have also thinned due to rubbing. This picture suggests contact allergy but it also looks like atopic dermatitis. Eyelid skin is very thin so allergens can be transferred there from the hands while the skin on the hands remains clear. Allergens from the garden are particularly likely to present like this.

This lady did not use any eye cosmetics. Sometimes allergens in shampoos and nail polish can result in a presentation like this.

The dermatitis settled rapidly with