Mind & Body
When Eyelid Irritation is More Than Just Dry Eye
Eric Drake · October 31, 2026

Often, people over the age of fifty have been diagnosed with blepharitis, but most patients don’t know what’s actually causing it. Blepharitis is an inflammation of the eyelids that can cause red, irritated, itchy, swollen eyelids and the formation of dandruff-like scales on eyelashes. Chronic dry eye is also common. This eye problem is similar to skin conditions such as dandruff of the scalp and acne rosacea.
In recent years, a new culprit has been added to the list of causes of blepharitis and rosacea that not many people would typically think of. It’s called Demodex. Demodex is actually a common mite found on human skin. Just as we have bacteria that always reside on our skin, these mites are similar. Typically, they don’t cause any problems or symptoms, but as we age, these mites can overpopulate. Excess mites can cause symptoms and potential chronic problems down the road. Research has shown that 84 percent of the population over age sixty has an infestation.
The best way to understand what is causing the symptoms mentioned above is through a comprehensive eye exam that focuses on the ocular surface and eyelids. An eye care professional will be able to diagnose the cause and make sure you get the right treatment.
Past treatments for Demodex have varied from using mild soaps and lid scrubs to prescribing antibiotic ointment, but the most effective treatments now use IPL light therapy or tea tree oil. Research shows that both IPL and tea tree oil will eradicate Demodex and help relieve the irritation, itching, and acne rosacea symptoms. Fortunately, there are companies that have formulated tea tree oil into easy-to-use wipes that are safe to use around the eyes. We have seen great success with both IPL and tea tree oil treatments. There is relief for those who are suffering from these little mites.
For more information or to schedule an appointment, call Southwest Vision at 435-673-5577 or go online at www.SouthWestVision.com

ABOUT THE AUTHOR: Dr. Drake was born and raised in Santa Clara, Utah. He is a graduate of Dixie State College, Utah Valley University, and Pacific University College of Optometry, where he received clinical honors and an award for outstanding academic achievement and clinical excellence. He is a member of the American Optometric Association and the Utah Optometric Association. He loves being back in his hometown and serving those in our community. He spends as much time as possible with his beautiful wife, Heidi, and their three wonderful children: Kinley, Carter, and Bryson. He also loves being in the outdoors and playing sports, especially golf and softball.
