Ophthalmic manifestations of Demodex spp. infection – what should a dermatologist know?

Karolina Jaworska; Martyna Sławińska; Michał Sobjanek; Paweł Lipowski

doi:10.5114/dr.2021.114602

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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6/2021
vol. 108

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abstract:

Review article

Ophthalmic manifestations of Demodex spp. infection – what should a dermatologist know?

Karolina Jaworska

^{1, 2}

,

Martyna Sławińska

²

,

Michał Sobjanek

²

,

Paweł Lipowski

¹

Department of Ophthalmology, Medical University of Gdansk, Gdańsk, Poland

Katedra i Klinika Dermatologii, Wenerologii i Alergologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska

Dermatol Rev/Przegl Dermatol 2021, 108, 485-503

DOI: https://doi.org/10.5114/dr.2021.114602

Online publish date: 2022/03/23

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Ocular demodecosis is a disease caused by Demodex folliculorum and Demodex brevis mites. Demodex folliculorum inhabits eyelash hair follicles, while Demodex brevis inhabits the meibomian glands and glands of Zeiss. The pathogenic role of Demodex mites is still under discussion. Numerous studies indicate that they are the etiological factor of many ailments of the protective apparatus of the eye and its anterior segment (e.g., blepharitis, tear film disorders, corneal lesions). Symptoms may include: decreased visual acuity, itching around the eyes, dry eyes or tearing, foreign body sensation, impaired contact lens tolerance, recurrent styes or chalazions. Currently, the most commonly used method of diagnosis of Demodex infestation is microscopic examination of epilated eyelashes. There are no uniform standards for the treatment of ocular demodecosis.

keywords:

Ophthalmic manifestations of Demodex spp. infection – what should a dermatologist know?

Karolina Jaworska 1, 2 , Martyna Sławińska 2 , Michał Sobjanek 2 , Paweł Lipowski 1

Demodex, folliculorum, brevis, demodecosis

Karolina Jaworska

^{1, 2}

,

Martyna Sławińska

²

,

Michał Sobjanek

²

,

Paweł Lipowski

¹