Mites on eyebrows and eyelashes, how to treat them? - briefly
Infestation of Demodex or similar mites around the eyebrows and eyelashes is treated with topical acaricidal agents such as «tea tree oil» or ivermectin cream, alongside gentle cleansing to eliminate debris. If over‑the‑counter measures are ineffective, a dermatologist can prescribe stronger medication.
Mites on eyebrows and eyelashes, how to treat them? - in detail
Mite infestations of the eyebrows and eyelashes, commonly caused by Demodex species, produce itching, redness, and a gritty sensation. Diagnosis relies on microscopic examination of epilated hairs or skin scrapings, revealing elongated, worm‑like organisms.
Effective management combines hygiene measures, pharmacologic agents, and, when necessary, procedural interventions.
- Daily cleansing: Apply a lid‑safe cleanser containing tea‑tree oil or a low‑concentration chlorhexidine solution to the affected area twice daily. Rinse thoroughly to remove residual debris.
- Topical acaricides: Use prescription‑strength ointments such as 1 % ivermectin or 0.1 % metronidazole applied to the base of the hairs for a period of 4–6 weeks.
- Oral therapy: For extensive colonization, administer oral ivermectin 200 µg/kg as a single dose, repeat after one week if needed. Alternative systemic agents include doxycycline 100 mg twice daily for 4 weeks, leveraging its anti‑inflammatory properties.
- Adjunctive treatments: Apply warm compresses for 5–10 minutes before medication to soften the follicular plugs, facilitating drug penetration.
- Procedural options: In refractory cases, consider laser therapy (e.g., 1064‑nm Nd:YAG) or intense pulsed light to reduce mite load.
Monitoring includes repeat microscopy after the initial treatment cycle to confirm eradication. Persistent symptoms may indicate secondary bacterial infection; in such instances, incorporate a topical antibiotic (e.g., erythromycin ophthalmic ointment) until resolution.
Preventive strategies focus on regular eyelid hygiene, avoidance of oily cosmetics, and periodic screening for individuals with rosacea or compromised immunity.