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Related Experiment Video

Updated: Apr 21, 2026

In Vivo Confocal Microscopy: A Standard Operating Procedure for the Detection of Demodex Mites at the Eyelid Margin
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Blepharitis: always remember demodex.

Vipul Bhandari1, Jagadeesh K Reddy1

  • 1Department of Cornea and External Diseases, Sankara eye Centre, Coimbatore, Tamil Nadu, India.

Middle East African Journal of Ophthalmology
|November 6, 2014
PubMed
Summary
This summary is machine-generated.

Demodex mites are highly prevalent in blepharitis patients, with anterior blepharitis (AB) and mixed blepharitis (MB) showing the highest infestation rates. Lid irritation and dandruff signal significant Demodex presence.

Keywords:
BlepharitisDemodexEyelashTea Tree Oil

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Area of Science:

  • Ophthalmology
  • Parasitology
  • Microbiology

Background:

  • Demodex mites are common ectoparasites found on human skin.
  • Blepharitis is a common inflammatory condition of the eyelids.
  • The role of Demodex infestation in various types of blepharitis requires further investigation.

Purpose of the Study:

  • To investigate the incidence and density of Demodex mite infestation on eyelashes.
  • To compare Demodex prevalence in patients with anterior blepharitis (AB), meibomian-gland dysfunction (MGD), and mixed blepharitis (MB) against a control group.

Main Methods:

  • Recruited 200 participants: 150 with diagnosed blepharitis (AB, MGD, MB) and 50 healthy controls.
  • Conducted standard eye examinations, gathered ocular symptomatology data, and performed digital photography of lid margins.
  • Collected eyelash samples for microscopic examination to quantify Demodex mites, analyzed using the Chi-square test.

Main Results:

  • Demodex infestation incidence was 90% in AB, 60% in MGD, and 90% in MB cases.
  • Control subjects showed a Demodex incidence of 18%.
  • Highest Demodex incidence and density were observed in patients with AB and MB.

Conclusions:

  • Demodex infestation is significantly more common in patients with AB and MB compared to controls.
  • Clinical signs like lid irritation and cylindrical dandruff are indicators of high-density Demodex infestation.
  • Clinicians should consider Demodex infestation in patients presenting with these signs and symptoms.