Demodex: Another Means of Preventing Contact Lens Dropout? - Scorecard - MDSpire

Demodex: Another Means of Preventing Contact Lens Dropout?

Attendees of the lecture, “Focus on the Lids for OSD Success,” which was provided by Melissa Barnett, OD, learned, in part, about another focus for deterring contact lens dropout: identifying Demodex.

  • By

  • Jennifer Kirby, managing editor

  • March 2, 2025

  • 2 min

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Clinical Scorecard: Demodex: Another Means of Preventing Contact Lens Dropout?

At a Glance

CategoryDetail
ConditionDemodex infestation
Key MechanismsInflammation and degeneration of conjunctival tissue, alteration of meibum composition
Target PopulationContact lens wearers
Care SettingOptometry clinics

Key Highlights

  • Demodex identified in up to 90% of contact lens wearers
  • 93% of intolerant contact lens wearers had Demodex
  • Demodex linked to blepharitis and meibomian gland dysfunction
  • Identification via slit lamp with high magnification is crucial
  • Lid hygiene and lotilaner ophthalmic solution recommended

Guideline-Based Recommendations

Diagnosis

  • Use slit lamp with high magnification to identify Demodex

Management

  • Prescribe lid hygiene and lotilaner ophthalmic solution

Monitoring & Follow-up

  • Assess for symptoms of discomfort and contact lens intolerance

Risks

  • Potential for blepharitis, conjunctivitis, keratitis, and meibomian gland dysfunction

Patient & Prescribing Data

Contact lens wearers experiencing intolerance

Lotilaner ophthalmic solution effectively eradicates Demodex

Clinical Best Practices

  • Encourage regular lid hygiene among contact lens wearers
  • Educate patients on the signs of Demodex infestation
  • Perform thorough examinations to identify Demodex

References

Original Source(s)

Demodex: Another Means of Preventing Contact Lens Dropout?

  • by Jennifer Kirby, managing editor

  • March 2, 2025

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