How to get rid of lice on eyelashes? - briefly
Apply a thin layer of petroleum jelly or an over‑the‑counter lice treatment to the affected lashes, leave it for 10–15 minutes, then gently comb out the parasites with a fine eyelash comb and repeat the process nightly for several days. Seek medical advice if the condition does not improve or causes significant irritation.
How to get rid of lice on eyelashes? - in detail
Lice that colonize the eyelashes, often referred to as eyelash pediculosis, require prompt and thorough treatment to prevent irritation, secondary infection, and spread to other areas. The following protocol outlines diagnosis, mechanical removal, pharmacological options, hygiene measures, and follow‑up care.
Diagnosis is confirmed by visual inspection using a magnifying lamp. Live insects appear as small, grayish‑white bodies attached to the base of each lash, sometimes accompanied by nits firmly glued to the shaft. If symptoms include itching, redness, or a gritty sensation, an ophthalmic examination should be performed to rule out conjunctival involvement.
Mechanical removal
- Apply a warm, sterile compress to the eyelid for 2–3 minutes to soften the glue that secures the nits.
- Using a fine‑toothed comb or a disposable cotton swab, gently slide the tool from the root toward the tip of each lash, extracting both insects and eggs.
- Perform the process in a well‑lit area, working systematically across the entire eyelid line.
- Discard used tools in a sealed container to avoid reinfestation.
Pharmacological treatment
- Over‑the‑counter petroleum jelly (e.g., Vaseline) applied to the lash line for 8–12 hours suffocates the parasites; repeat after 24 hours.
- Prescription topical ivermectin 1% cream, applied once daily for three consecutive days, targets resistant populations; use under medical supervision to avoid ocular toxicity.
- In cases of severe inflammation, a short course of topical corticosteroid may be prescribed to reduce swelling, but only after confirming the absence of corneal involvement.
Hygiene and environmental control
- Wash all bedding, towels, and pillowcases in hot water (≥60 °C) and dry on high heat.
- Replace or disinfect personal items that contact the face, such as makeup brushes, eyeglass frames, and contact lenses.
- Avoid sharing cosmetics or towels until the infestation is cleared.
- Keep fingernails trimmed to reduce the risk of scratching and secondary bacterial infection.
Follow‑up
- Re‑examine the eyelids 48 hours after the initial treatment to ensure no live lice remain.
- Conduct a second mechanical removal session if any nits persist.
- Schedule a final check after one week; if symptoms recur, consider alternative topical agents or referral to a dermatologist or ophthalmologist.
Adhering to this comprehensive approach eliminates the parasites, minimizes discomfort, and prevents recurrence.