Treating and managing Demodex blepharitis 

There are options to help ease symptoms and treat the signs of DB1,2

When it comes to managing Demodex blepharitis (DB), there are several over-the-counter (OTC) products and in-office procedures as well as a prescription eye drop available.

Eyelid hygiene

Eyelid cleansers that have antiseptic properties can potentially help improve symptoms of DB. One of the most commonly used treatment options for DB symptoms is tea tree oil, which can be found in some OTC products.2,3

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Eyelid Scrub

Eyelid scrubs

Premoistened pads, towelettes, and cotton-tipped applicators used daily to wipe the eyelashes 

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Foam Soap

Eyelid foams and sprays

Cleansing foam and sprays used daily over the eyelids and eyelashes

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Warming hands

Warm compresses

A dampened warm towel or heating pad applied over a closed eye for a few minutes daily

In-office treatments and procedures1,2

There are also in-office treatments administered by an eye doctor to clean and exfoliate the eyelids and alleviate inflammation.

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Intense pulsed light

Intense pulsed light (IPL)4

A process that uses light pulses, which may reduce eyelid inflammation

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exfoliation

Microblepharoexfoliation (MBE)

A process of exfoliation that helps remove crusting from the eyelids and eyelashes

Prescription eye drop treatment

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Eyedrops

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1. Rhee MK, Yeu E, Barnett M, et al. Demodex blepharitis: a comprehensive review of the disease, current management, and emerging therapies. Eye Contact Lens. 2023;49(8):311-318.
2. Fromstein S, Harthan J, Patel J, et al. Demodex blepharitis: clinical perspectives. Clin Optom (Auckl). 2018;10:57–63.
3. Blepharitis. Mayo Clinic. May 10, 2022. https://www.mayoclinic.org/diseases-conditions/blepharitis/diagnosis-treatment/drc-20370148
4. Zhang W, Cao X, Yang L, Duan Y, Zhang W. Analysis of treatment efficacy of intense pulsed light (M22) for meibomian gland dysfunction with Demodex mites. Clin Cosmet Investig Dermatol. 2023;16:3743-3751.

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