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The Dirty Truth About Demodex: What’s Crawling on Your Lashes?

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If your eyelids are itchy, crusty, or constantly irritated—especially in the morning—you may be hosting some unwanted guests. No, not allergies. We’re talking about Demodex mites.

At Hazleton, Stroudsburg, Pottsville, Bangor, and Nanticoke Eye Specialists, we diagnose and treat this common but often overlooked cause of dry eye and eyelid discomfort.

What Is Demodex?

Demodex are microscopic mites that naturally live in human skin. But when they overpopulate the eyelids, they can cause:

  • Itching or burning eyes
  • Red, inflamed eyelids
  • Crusting or dandruff-like debris around lashes (called cylindrical dandruff)
  • Worsening dry eye symptoms

This condition is known as Demodex blepharitis—a type of eyelid inflammation that can disrupt the tear film and damage the lashes and follicles.

How Do I Know If I Have It?

You may notice:

  • Frequent morning irritation
  • A gritty or “something in the eye” feeling
  • Tiny white or waxy plugs at the base of the lashes
  • Worsening symptoms despite using eye drops

Our doctors use a special microscope to examine your lashes and confirm the presence of Demodex mites during your eye exam.

Treatment Options That Actually Work

Over-the-counter lid scrubs often don’t eliminate mites. We use targeted treatments including:

  • Tea tree-based cleansers and in-office treatments like BlephEx®
  • Prescribed treatments like Xdemvy®, the first FDA-approved drop specifically for Demodex
  • Lid hygiene plans tailored to your eye health and lifestyle

Why It Matters

Left untreated, Demodex blepharitis can:

  • Worsen dry eye symptoms
  • Causes recurrent styes and chalazia
  • Lead to lash loss or follicle damage
  • Affect the quality of vision and comfort

Why Choose Our Team?

At Hazleton, Stroudsburg, Pottsville, Bangor, and Nanticoke Eye Specialists, our doctors specialize in diagnosing and treating all causes of dry eye, including mite-related blepharitis. We use the latest tools and treatments to restore clarity and comfort.

Stop the Itch—Start the Treatment

If you suspect Demodex is to blame for your dry, irritated eyes, don’t wait.
Schedule your dry eye and lid health evaluation today with any of our five NEPA locations.

Written by
Dr. James Deom, OD, MPH, FAAO, FSLS

More Articles By
Dr. James Deom, OD, MPH, FAAO, FSLS

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Hazleton
Eye Specialists

  • 281 Airport Road
  • Hazle Township, PA 18202

Stroudsburg
Eye Specialists

  • 2942 Route 611, Suite 5
  • Tannersville, PA 18372

Pottsville
Eye Specialists

  • 541 West Bacon Street
  • Pottsville, PA 17901

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Eye Specialists

  • 245 S. Prospect St.
  • Nanticoke, PA 18634

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Eye Specialists

  • 385 Bangor Junction Rd.
  • Bangor, PA 18013

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