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Eyelash Mites / Demodex Blepharitis: Causes, Symptoms, and Treatments

If you’ve been experiencing itchy, red, or swollen eyelids, you might be dealing with a common yet often overlooked condition known as Demodex blepharitis. As a leading optometry practice, we...

If you’ve been experiencing itchy, red, or swollen eyelids, you might be dealing with a common yet often overlooked condition known as Demodex blepharitis. As a leading optometry practice, we understand how disruptive these symptoms can be. Demodex blepharitis is caused by microscopic mites, known as Demodex, that live on human skin and particularly around the eyelashes. While these mites are naturally present, an overgrowth can lead to irritation and inflammation of the eyelids.

Causes of Demodex Blepharitis

The primary cause of Demodex blepharitis is an overpopulation of Demodex mites on the eyelid margins. Factors like poor eyelid hygiene, weakened immune responses, or oily skin conditions can contribute to their proliferation. This overgrowth disrupts the natural balance and can cause a range of uncomfortable symptoms.

Symptoms to Look Out For

Common symptoms include itching, a gritty or burning sensation in the eyes, red or swollen eyelid margins, and even crusting at the base of the lashes. In more advanced cases, Demodex blepharitis can lead to blurry vision due to excessive tearing or the formation of dandruff-like debris around the lashes.

Treatment Options

Treating Demodex blepharitis involves reducing the population of mites and maintaining good eyelid hygiene. Options include:

  1. Lid Scrubs: Specialized eyelid cleansers help remove debris and reduce mites. Daily cleansing can prevent re-infestation.
  2. Tea Tree Oil: Certain eyelid wipes contain low concentrations of tea tree oil, which is effective in killing Demodex mites.
  3. Prescription Treatments: For severe cases, your optometrist may prescribe medicated ointments or creams to control inflammation and mite populations.

Regular follow-up appointments with your eye care professional can help keep this condition under control. With the right treatment and care routine, you can relieve symptoms and maintain healthy, comfortable eyes.

 

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