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#234: What's Causing Your Irritated Eyelids

May 13, 2025
 

Have you ever noticed red, irritated eyelids or an itchy, scratchy feeling at the base of your lashes? You might have been told you have Demodex blepharitis, or DB. Although DB may sound concerning, it’s very common. And, there are effective treatments available. 

What Is Demodex Blepharitis? 

Demodex blepharitis is a common type of eyelid inflammation caused by an overgrowth of Demodex mites. tiny These mites are tiny micro-organisms that live in your eyelash follicles. Everyone has some Demodex mites, but when their numbers increase too much, they can lead to irritation and inflammation. 

Signs and Symptoms of Demodex Blepharitis: 

🔴 Red, swollen eyelids 
🤕 Itchy or scratchy sensation at the lash line 
Burning or irritation, especially in the morning 
🕵️‍♂️ Crusty debris at the base of the lashes 

How to Treat Demodex Blepharitis 

If you’ve been diagnosed with Demodex blepharitis, don’t panic! The good news is that there’s an effective FDA-approved treatment available. XDEMVY™ (lotilaner ophthalmic solution, 0.25%) is the only prescription medication specifically designed to target Demodex mites and reduce the symptoms of blepharitis. 

What You Can Do: 

Visit Your Eye Doctor: A professional diagnosis is key to confirming Demodex overgrowth. 
Ask About XDEMVY: This prescription eye drop is proven to eliminate mites and relieve symptoms. 
Maintain Good Eyelid Hygiene: Regularly cleanse your lids with hypochlorous acid sprays or an eyelid specific cleanser to keep your lash line clean. 
Replace Old Makeup: Demodex mites can thrive in old mascara and eyeliner, so refresh your eye products regularly. (Every 3 months for a tube of mascara!)

Conclusion 

If you’re dealing with red, itchy eyelids, it might be time to get checked for Demodex blepharitis. Your eyes deserve to feel great and look their best. With the right treatment, relief is within reach! Schedule an appointment to see your eye doctor today!👁️✨ In the meantime, I always suggest that my patients take 4-Simple Steps to care for their eyes everyday. I call them Eye Care Essentials. Learn more about them here. 

 

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