Demodex

Demodex
		SYMPTOMS	Often asymptomatic, possible irritation
		SIGNS	Cylindrical sleeve/collarettes around lash follicle
		WORK-UP	Thorough history. Slit lamp examination
		TREATMENT	Observation \| Tea tree oil \| Cliradex \| Zocular
		FOLLOW-UP	Every 2-3 weeks during treatment. PRN if insignificant signs/symptoms.
		ADDITIONAL LAB \| TESTS	None
		ETIOLOGY	Demodex are a normal part of skin and hair follicles that can lead to an infestation
		DIFFERENTIAL DX	Blepharitis \| Phthiriasis palpebrum
		NOTES	2 types of demodex: D. folliculorum and D. brevis