Demodex mites live in eyelash follicles and meibomian glands. For many patients, they cause a stubborn, itchy form of blepharitis with waxy sleeves (collarettes) around the lashes. In the UK, treatment is focused on consistent lid hygiene and targeted cleaning strategies that reduce the mite load.
Demodex blepharitis pictures and collarettes: what to look for
- Collarettes: Waxy, cylindrical debris at the lash base is the most specific sign.
- Itching: Often worse in the morning, with a crawling or tickling sensation.
- Recurrent inflammation: Symptoms persist despite standard warm compresses alone.
If you search for demodex blepharitis pictures online, the classic image is a sleeve of debris around each lash. That collar-like buildup is called a collarette.
Demodex blepharitis treatment: home basics (UK first-line)
Daily lid hygiene is the backbone. Aim for a simple routine you can sustain long term.
- Warm compresses: Loosen oils and make cleaning more effective.
- Lid cleaning: Use lid wipes or foam cleansers designed for eyelids.
- Tea tree oil or terpinen-4-ol wipes: These can reduce mite load, but must be used carefully to avoid irritation.
Avoid applying undiluted tea tree oil directly to the lids. It can burn the skin and worsen inflammation.
In-office options
If symptoms persist, clinicians may suggest in-office debridement or device-based treatments.
- Micro-exfoliation (BlephEx): Removes biofilm and collarettes from the lid margin.
- IPL: May help when Demodex blepharitis overlaps with rosacea or MGD.
Prescription treatments and UK availability
Prescription options are evolving. Some treatments used in other countries are not yet widely available in the UK. Your clinician can advise on suitable options based on your symptoms, skin type, and local access.
How long does it take to improve?
Demodex has a multi-week life cycle, so improvements are gradual. Most patients need 6 to 8 weeks of consistent cleaning before symptoms settle, followed by a maintenance routine.
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FAQs
How do I know if I have Demodex blepharitis?
The hallmark is cylindrical dandruff (collarettes) at the lash base, with itching and irritation that are worse in the morning.
Does tea tree oil help Demodex blepharitis treatment?
Wipes containing tea tree oil or terpinen-4-ol can reduce mite load when used consistently and safely.
How long does treatment take?
Expect at least 6 to 8 weeks of daily lid hygiene, as mites have a multi-week life cycle.
Is there a prescription cure?
Prescription options are evolving and availability varies in the UK. A clinician can advise on suitable treatments.