The Effectiveness of Lid Cleansers in Eradicating Demodex


Demodex blepharitis: White arrows denote cylindrical dandruff at the base of the lashes, while the black arrows show live Demodex mites under 100X magnificationKabat A. 1

Demodex associated blepharitis is extremely prevalent, particularly among older individuals. While virtually all of us have some Demodex mites, symptoms may start to appear when the population reaches a critical mass and there are more organisms living in the tissue. Many patients will present with non-specific ocular irritation including burning of the eyes, itchy eyelids, redness, swelling, and debris on their lashes.

Part 2: The Business Impact of Offering Cliradex in Your Practice

In part two of her series, Patti Barkey, CEO, Bowden Eye & Associates, in Jacksonville, Fla., discusses how Cliradex has assisted in practice efficiency, clinical outcomes and how it has improved business and their bottom line.

Part 1: The Business Impact of Offering Cliradex in Your Practice

In part one of a two-part series, Patti Barkey, CEO, Bowden Eye & Associates, in Jacksonville, Fla., discusses why they decided to implement Cliradex in their practice, how it fits into their “Dry Eye Disease" toolbox, and how it is used.

Cosmetics and Blepharitis – A Two Part Series

In part one of a two-part series, Sarah Darbandi, MD discusses the effects of cosmetics on the eyes, particularly for patients with dry eye and blepharitis.

Q:             How are cosmetics harmful to the eyes, particularly for patients with dry eye or blepharitis?

There are many things we apply around our eyes and on our eyelids, which is the thinnest skin on our body, including cleanser, moisturizer, under eye cream, concealer, eye shadow, mascara, eyeliners and more. Many of these products contain wax (synthetic, paraffin or beeswax) as well as potentially toxic chemicals such as carcinogens and parabens. Although parabens prevent the growth of bacteria in makeup, they can be absorbed through the skin and transmitted into the bloodstream. Parabens can also make dry eye worse as they prohibit the oil glands that line the eyelid from secreting enough oil.

Five Ways to Be More Proactive About Ocular Hygiene

We have all heard the saying “If people never got sick, there would be no need for doctors.” However, this is simply not true. As doctors, we have sworn to improve those who have pathology, however one of our most important jobs is disease prevention. Although it took many years to accomplish, we need only look to our dental colleagues as models for preventive care and development of good habits. This emphasis does not eliminate the need for dentists, but it does help reduce the number of dental procedures. Eye care is slowly moving in this direction, but still has a ways to go to operate from a truly preventive standpoint.

Dentistry advocates see patients twice a year and promote routine cleaning and polishing of teeth. Contrast this with our own profession, where routine check-ups are typically done every one to two years, and the importance of lid and lash cleanliness and good ocular hygiene is oftentimes not routinely mentioned. As doctors, there are many things we can do early – really at every stage of patient care – to guide patients towards improved ocular health. As a start, we can help patients understand the importance of ocular hygiene, its implications on long-term ocular health, and the development of good hygienic habits.

By being more proactive about preventive care, including looking at chronic, progressive diseases like blepharitis and meibomian gland dysfunction differently; we can help keep our patients’ ocular surface functioning at a higher level throughout their lives. Following are five ways we can be more proactive:

New Resource to Educate Consumers About Blepharitis, Demodex and Other Lid Margin Diseases

We are pleased to announce our newly revamped website to help educate patients and build awareness about eye health and wellness, particularly related to blepharitis, Demodex, dry eye, ocular rosacea and other lid margin diseases.

The website also provides you and your staff access to clinical and product information about Cliradex, our preservative-free, all-natural lid, lash, and facial cleanser. Cliradex isolates 4-Terpineol, the most important ingredient in tea tree oil, that is clinically-proven to safely and effectively clean the skin and eradicate Demodex mites.

Diagnosing and Treating Demodex Blepharitis: Myths and Facts

Demodex is one of the most common causes of blepharitis, yet it still remains an often overlooked differential diagnosis. Although there is much information published on the treatment of Demodex, some dialogue still focuses on traditional treatments such as baby shampoo, lid scrubs, and ointments that are ineffective in addressing the core of the problem: the Demodex mites. Here are some myths and facts to help debunk some common beliefs surrounding Demodex Blepharitis:

Think Demodex First, Not Last

In the last few years, there has been increased interest in blepharitis, and several new therapeutic products have hit the marketplace. When choosing the appropriate treatment for patients, it’s important to consider etiology. The primary types of blepharitis are demodectic, staphylococcal, and seborrheic. These often occur along with MGD.

Blepharitis: Getting to the Crux of the Problem

Traditionally we haven’t had many great options for treating stubborn conditions that affect the eyelid and ocular surface such as blepharitis and rosacea. During my training, we would recommend baby shampoo as a cleanser which would be quite irritating to the ocular surface and really didn’t get to the crux of the problem, leaving some patients with continual symptoms such as itchiness and irritation. Luckily today, we have other options for patients that are much more effective.

Naturally Fresh, Healthy Eyes: Patients Talk About Cliradex

Ever wondered what patients have to say about Cliradex®?