Demodex & Blepharitis

Key overview

  • Almost everyone carries Demodex mites. It is the population size, not their presence, that causes disease.
  • The distinguishing signs are itch and cylindrical dandruff — waxy collarettes at the base of the lashes.
  • Treatment has to outlast the mite life cycle. A course measured in weeks will fail; months is the realistic expectation.
  • Castor oil has a growing evidence base for this specifically, including a 2025 University of Auckland study.

Demodex are mites that live in human hair follicles, including eyelash follicles. Almost everyone has some. They become a problem when the population grows large enough to inflame the lid margin, block gland openings and produce the distinctive waxy collarettes at the base of the lashes that optometrists look for.

Demodex blepharitis is under-recognised, partly because its symptoms — itching, crusting, redness, irritation worst on waking — overlap with everything else that affects the lid. The distinguishing feature is usually the itch, and the cylindrical dandruff.

Treatment is slower than people expect, because it has to outlast the mite life cycle rather than simply kill what is there today. A course measured in weeks will fail; a course measured in months is the realistic expectation.

Guides in this section

15 articles, grouped by what they answer.

Where our products fit

Castor oil has a growing evidence base for Demodex specifically, including a 2025 University of Auckland study. LidBoost+ is cold-pressed and single-ingredient, which is what you want for something applied nightly to the lid margin. LidBoost+.

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