HomeAnswersOphthalmology (Eye Care)dry eyes

I have dry eyes with weird eyelids and eye lashes. Could this be due to Demodex mites?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been suffering from dry eyes for four years. I have seen many eye doctors, but no cause has been found. A while ago, I started noticing my eye-lids looking weird. I also discovered I had Demodex mites on my face, but none were found on my eyelashes. However, I made some photos of my eye-lids and found the base of my eye-lashes looked white. My question is, could this, after all, be the sign of Demodex mites? During these four years of dry eyes, I get occasional left eye pains. The problem is exacerbated by computer use, reading, being outdoors. My eyes are not red, no blurred vision, no excess tearing. Warm compresses, eyelid massages, eyelid hygiene, and diet changes did not help. Around a year ago, eye-lid problems started. My eyelashes do not fall out easily, though.

Answered by Dr. Priyanka

Education:

MBBS

Professional Bio:

Dr. Priyanka is a skilled Ophthalmologist with expertise in treating cataracts, glaucoma, and retinal disorders. She can do comprehensive eye examinations and vision care. She helps in the diagnosis and management of refractive errors. She provides contact lens and spectacle prescriptions for vision correction. She can provide preventive eye care and counseling for lifestyle-related eye strain.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

We do have natural microbe or flora on our face and eyelashes but Demodex mite cannot be, it is a foreign microbe that needs to be treated. I can see the images (attachment removed to protect patient identity) and there is redness beneath the eye and also white at the base of the eyelash. There are many reasons for it, firstly, are you having psoriasis which itself can be flared up and needs treatment by a skin specialist. This also has an effect on eyes causing dryness and burning. Secondly, as you are saying dandruff that you have to check. Do you observe it at your hairs, shoulders, and eyebrows? That also has to be treated by antidandruff shampoo again call for a skin specialist. Thirdly, blepharitis because it also causes similar symptoms apart from the face. Do you have any other symptoms like thirsty mouth, itching in any part of the body, or rashes? Well, I would suggest you to get it checked once with a skin specialist also because it is now a chronic condition. I will write medications for you.

Treatment plan

Eye ointment Dexamethasone over the eyelashes at night and day for 15 days. Eye drop Systane ultra (Polyethylene glycol) four to five times a day for 15 days. Eye ointment Neosporin at the face just down to eyes where rash is there. Genteal gel at night and day inside the eye. Use any anti-dandruff shampoo. use anti mite shampoo for hairs. Lid scrub by scrubbing it with buds dipped in one part of shampoo and two parts of water. This should be continued for 15 days. Please consult a skin specialist. It is important since you are so much in pain.
Answered by Dr. Priyanka
Medically reviewed by Dr. Vinodhini J.
Published At February 10, 2020
Reviewed At December 20, 2023

Education:

MBBS

Professional Bio:

Dr. Priyanka is a skilled Ophthalmologist with expertise in treating cataracts, glaucoma, and retinal disorders. She can do comprehensive eye examinations and vision care. She helps in the diagnosis and management of refractive errors. She provides contact lens and spectacle prescriptions for vision correction. She can provide preventive eye care and counseling for lifestyle-related eye strain.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Priyanka is a skilled Ophthalmologist with expertise in treating cataracts, glaucoma, and retinal disorders. She can do comprehensive eye examinations and vision care. She helps in the diagnosis and management of refractive errors. She provides contact lens and spectacle prescriptions for vision correction. She can provide preventive eye care and counseling for lifestyle-related eye strain.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

psoriasisdry eyes

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.