Daily Regimen for Succesfull Treatment of Blefaritis and Demodex Folluculorum
Blepharitis is a condition that affects the eyelids. It is caused by the tiny parasite Demodex, infesting eyelashes, tear ducts, sweat glands and oil glands. The Demodex mites dig their way into the victims flesh and lay their eggs. Then eat their way through the dead skin and oil until they die.
Demodex mites live in either genders facial skin and eyelash follicles. Many studies have been conducted to figure out the incidence of this parasite. On the most recent studies in the EU they found the incidence in their test group was 0.08 a/p, but higher in the elderly (0.38 a/p) than in the rest (0 to 0.14 a/p). a/p = persons affected divided by total people in the group.
It was found in this study group that a higher number of mites appeared in people/individuals with diabetes, which together with the higher incidence in elderly persons correlate with those found by other authors/studies. It was also noted that in the segment from 60 to 69 years found no eyelash mite with these people, even if they had diabetes.
Demodex folliculorum is usually considered a non-pathogenic condition, but has been implicated in several dermatological conditions. There are many skin conditions where the Demodex mite is said to at least play a part. This may be due to the damage they cause, their affect on the local immune response, their presence and faeces, their decaying corpses, or simply through the fact that the damage they do leaves the skin open and more hospitable for other mites and bacteria to infect. Even though it is considered non-pathogenic, it may still cause problems in some people more than it will others. For example, a person whom is not affected by Demodex mites may carry them and pass them onto a person whom is very susceptible to the mite.
There has been a great success in the treatment of blepharitis with patients who were prescribed a very specific treatment for Demodex. They had to clean their eyelids and eyelashes eyelid hygiene solution Cilclar ® ether plus the application of a cream to the lid margin, which contained a yellow oxide of mercury (2%).
After 3-8 weeks of medication, the mite numbers dropped dramatically, as well as signs and symptoms of blepharitis. The rate of parasitism after treatment was far lower with the with a statistical significance of p = 0.001. That is 0.001 mites found for every one found previous.
Subjectively the patients are much better physically and will often relate that the itching was/is gone, as well as the scales on the eyelids. This treatment is a very regimented one, which requires a very strict routine, but is as yet the most successful treatment procedure found for blepharitis yet.
At 6 months, some patient may have an associated dry eye, in which case a doctor will prescribe some form of eye drops. The biggest problem that scientists and doctors have had with this treatment is through patients also need some form of treatment for an ocular allergy, as some patients are intolerant of the treatments toxicity (also known as the active ingredients) and mercury oxide.