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    Help prevent demodex’s chronic lid and lash problems

    Asking your patients to spend a few minutes a day brings big benefits


    Prescribe lid hygiene products

    Products continue to emerge for in-office applications and products for our patients to use at home.

    Just as we prescribed glaucoma and antibiotic medications, we should also prescribe products for lid and lash hygiene. Dentists discuss hygiene with their patients with a daily regimen to keep their teeth clean and healthy and to prevent disease. As optometrists, we should discuss lid and lash hygiene with each patient. Many patients wash their faces but certainly forget to take any care in keeping their lids and lashes clean.

    As a female OD, I like to talk with my female patients about lid and lash hygiene specifically because of eye makeup. Many products like eye mascara, eyeliner, and eyeshadows can create more problems concerning blepharitis and demodex.7

    Related: Diagnosing Demodex

    I discuss the importance of replacing makeup more frequently, using an antimicrobial cleaner to keep makeup brushes clean, not to share makeup with anyone, and how to properly clean their lids and lashes more thoroughly.

    Many makeup lines are safe and hypoallergenic. I tell my patients to look at the back of the bottle or tube as many products will say that they are ophthalmology approved. Infection and irritation can stem from unhealthy habits with makeup and beauty routines. Taking a few extra minutes with our female patients to discuss lid and lash hygiene as it pertains to makeup will decrease the amount of complications further down the road.

    We can easily overlook findings right in front of us. Taking the time to do a thorough slit lamp exam, discuss the lash and lid hygiene, and prescribe treatment options instead of recommendation can lead to healthier lids and lashes.

    Brittany Mitchell, OD
    Dr. Brittany Mitchell practices at Alabama Vision Center in Birmingham, AL, in an OD/MD setting. She is a graduate of the University of ...


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