5 Key Takeaways

• 1

  Demodex mites and meibomian gland dysfunction (MGD) are significant contributors to contact lens intolerance and dropout.

• 2

  93% of soft contact lens dropout patients have Demodex infestations, with less than 6% reporting no discomfort.

• 3

  The presence of collarettes at the base of eyelashes confirms Demodex blepharitis, which can be diagnosed using slit lamp examination.

• 4

  Lotilaner 0.25% ophthalmic solution is FDA-approved for eradicating Demodex mites and can improve meibomian gland function.

• 5

  Ivermectin 1% cream is an alternative treatment for Demodex blepharitis, improving symptoms and reducing ocular surface staining.