Eyelash Mites: Symptoms, Causes, and Treatment

Your doctor has several ways to find out if eyelash mites are causing your symptoms. A special microscope with a bright light called a slit lamp can show if:

  • Tube-like dandruff is at the root of your eyelashes.
  • Mites, or their eggs or babies, are on a few eyelashes taken from your eyelid.

 

Eyelash mites don’t need to be treated if they’re not causing problems. And sometimes getting rid of eyelash mites can be tough. Eyelid scrubs you can buy over the counter at the drugstore may not do the trick.

What treatments usually work? Your doctor might recommend:

  • Topical eye drops called lotilaner (Xdemvy): These drops are FDA-approved and used twice a day for six weeks.
  • Tea tree oil: Soaked into wipes or cleansers, rub this over your closed eyelids and face. Don’t open your eyes quickly after wiping or they may sting. Make sure you are diluting the oil if it is full strength, as that will be too strong and harmful for your thin eyelid skin.
  • Creams or ointments: They’re made from substances like sulfur, permethrin, ivermectin, and mercury oxide. You spread these medicines at the base of your lashes.

 

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