TL;DR: It is important to consider infestation with Demodex mites in individuals who are non responsive to traditional MGD treatment but also equally important when cylindrical dandruff is seen at the base of the eye lashes.
Abstract: UNLABELLED Meibomian gland dysfunction (MGD) is a common cause of dry eye disease. Demodex mites can cause MGD with symptoms like itching, dryness and general ocular discomfort. It is important to consider infestation with Demodex mites in individuals who are non responsive to traditional MGD treatment but also equally important when cylindrical dandruff is seen at the base of the eye lashes.. We report two individuals who had not responded to ocular and systemic treatment for MGD and were then diagnosed with Demodex mites. Treatment with BlephEx and Tea tree oil was successful. This is the first report on Demodex folliculorum in Iceland where a genetic analysis was done. KEY WORDS Demodex, blepharitis, debris, tea tree oil, dry eye. Correspondence: Sigurlaug Guðrun Gunnarsdottir sigurlaug@sjonlag.is.
TL;DR: In this paper, the authors diagnose demodex blepharitis with persistent cylindrical dandruff (CD), red lid margins, and eyelash distention, and suggest using lid scrubs with baby shampoo, warm compresses, and even steroid/antibiotic combo drops.
Abstract: You see them year after year in your chair: persistent cylindrical dandruff (CD), red lid margins, and eyelash distention. You've prescribed lid scrubs with baby shampoo, warm compresses, and even steroid/antibiotic combo drops, but nothing seems to resolve the condition. If this is the case, it's likely you are dealing with demodex blepharitis.