I'm sorry to hear about the dandruff, dead skin around your eyelashes, and the thinning you've noticed over the past two years. These symptoms could be related to conditions such as blepharitis (inflammation of the eyelid margins), seborrheic dermatitis, or other skin issues affecting the eyelids and eyelashes.

Here are some important points to consider:

• Dandruff and dead skin around eyelashes often indicate inflammation or irritation of the eyelid margins.
• Thinning or loss of eyelashes over time can be due to chronic inflammation, infection, or other dermatological conditions.
• Using creams like Eumosone-M, which contains an antifungal (Miconazole) and a steroid (Clobetasone), might be prescribed for fungal skin infections and inflammation. However, applying steroid creams near the eyes requires caution and should only be done under strict medical supervision to avoid side effects.
• It is essential to avoid self-medicating, especially with steroid-containing creams near the eyes, as improper use can worsen symptoms or cause complications.

Recommendations:

• Please consult a dermatologist or an ophthalmologist (eye specialist) for a thorough examination and accurate diagnosis.
• They may recommend appropriate treatments such as eyelid hygiene measures, medicated shampoos, or specific medications tailored to your condition.
• Avoid rubbing or scratching the affected area to prevent further irritation.

If you experience worsening symptoms, pain, vision changes, or significant discomfort, seek medical attention promptly.To narrow down potential causes, we will need some more information.I understand you're dealing with dandruff, dead skin around your eyelashes, and thinning eyelashes. To better assist you, could you please share your age and gender?