While many eyecare practitioners (ECPs) are just now learning about Demodex infestation of the eyelids and adnexa, the fact is that this condition has been around for as long as mankind. The entomologists Johannsen and Riley from Cornell University first described the species in detail anatomically as early as 1915, but it wasn’t until the 1960s that clinical reports of demodex-related blepharitis began to emerge in the literature.
Though there is scant research to guide treatment, tea tree oil shampoo might successfully improve some cases of blepharitis, according to two physicians at the Eye Unit, Southampton General Hospital, Southampton, United Kingdom.
A common barrier to many practitioners is the concern that their practice does not have the patient foundation to make investment in the services economically profitable. I assure you that OSD management will profit the patient in many ways that includes clearer, more comfortable vision, enhancing their productivity and overall wellbeing.
While there are a myriad of associated concerns due to ocular surface inflammation, a few eyelash-related complications of note are trichiasis, acquired distachiasis, local madarosis, and poliosis. Each of these is in some way connected to dry eye.
The lipid layer prevents evaporation of aqueous tears and prevents drying. Lipid deficiency due to meibomian gland dysfunction (MGD) is the most common cause of symptoms associated with dry eye disease.
Dr Wolffsohn presents the results of a survey completed by eye care practitioners worldwide regarding their current practices on anterior eye health recording. Recommendations on best practice are also presented, based on these study findings.
Focusing on dry eye management is a great practice builder, but is not without challenges. These challenges lie in making the proper diagnosis, implementing new technology, properly training staff, developing an effective treatment plan and the time it takes to properly educate patients.
I can assure you that as consumers, we are all looking for the first-class treatment. When it comes to recommendations for your patients, do you offer them best-in-class treatments, or do you hold back?