Contact Lens Dropout? Start With the Lids - Takeaways - MDSpire
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Contact Lens Dropout? Start With the Lids

Pam Theriot, OD, FAAO, explains how Demodex and meibomian gland dysfunction could be causing your patients to drop out of contact lens wear

  • By

  • Pamela E. Theriot, OD

  • September 1, 2026

  • 5 min

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  • 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.

Original Source(s)

Contact Lens Dropout? Start With the Lids

  • by Pamela E. Theriot, OD

  • September 1, 2026

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