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Updated: Jun 3, 2026

In Vivo Confocal Microscopy: A Standard Operating Procedure for the Detection of Demodex Mites at the Eyelid Margin
Published on: July 3, 2025
Demodex infections in general Polish population, in patients suffering from blepharitis, and among people who work
Aleksandra Garbacewicz1, Monika Udziela, Barbara Grytner-Ziecina
1Department of General Biology and Parasitology, Medical University of Warsaw. agarbacewicz@wum.edu.pl
Abstract:
In this study we examined 264 people to estimate the prevalence of Demodex infection. The subjects were divided into 4 groups. First two groups consisted of young people (mean age 22 years) and seniors (mean age 66 years) respectively. The third group included people who work with microscopes (mean age 44 years). Forth group consisted of patients with diagnosed blepharitis (mean age 65 years). From every individual 3-4 lashes were epilated from the eyelids of both eyes and examined under the microscope for Demodex mites. The statistical analysis based on logistic regression was used to estimate the probability of infection. Age was independent variable significant for this model (p < 0.001). Significant relation between age and probability of Demodex infection was showed. The lowest number of infected individuals was observed in the group of young subjects (only 5%), the highest in the blepharitis patients (74% infected). Among microscope users 30% were infected, in the group of seniors 34% were infected.
Insights
This study found that Demodex mites are more prevalent in older adults and patients with blepharitis. Age significantly impacts Demodex infection probability, with young individuals showing the lowest infection rates.
Area of Science:
- Ophthalmology
- Parasitology
- Dermatology
Background:
- Demodex mites are microscopic ectoparasites that commonly inhabit human hair follicles.
- Demodex infections can be associated with various ocular conditions, including blepharitis.
Purpose of the Study:
- To estimate the prevalence of Demodex infection across different age groups and occupational exposures.
- To investigate the relationship between age and the probability of Demodex infection.
Main Methods:
- A total of 264 individuals were recruited and categorized into four groups: young adults, seniors, microscope users, and blepharitis patients.
- Eyelash samples were collected from both eyes of each participant and examined microscopically for Demodex mites.
- Logistic regression analysis was employed to determine the statistical significance of age as an independent variable.
Main Results:
- The prevalence of Demodex infection varied significantly across groups, ranging from 5% in young subjects to 74% in blepharitis patients.
- Microscope users exhibited a 30% infection rate, while seniors showed a 34% infection rate.
- Age was identified as a significant independent variable (p < 0.001), demonstrating a clear correlation with Demodex infection probability.
Conclusions:
- Age is a significant risk factor for Demodex infection.
- Individuals with blepharitis have a substantially higher prevalence of Demodex mites.
- Targeted screening and treatment strategies may be beneficial for at-risk populations.
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