Opinion|Videos|March 31, 2026

Recognizing Demodex Blepharitis: Prevalence, Diagnosis, and Clinical Impact

Prof. Nanavaty outlines Demodex blepharitis, highlights colorette counts as a measure of severity, and emphasizes that despite its high prevalence in patients, it is frequently overlooked and should be routinely assessed during eye exams.

Prof. Nanavaty defines Demodex blepharitis and explains how colorette counts are used to categorize severity. He shares findings from his UK study showing that nearly 60% of routine ophthalmology patients had at least one colorette and approximately 25% had moderate-to-severe disease. He discusses the case for making colorette assessment a routine part of slit-lamp exams, and addresses why the condition remains underdiagnosed and frequently misattributed to generic blepharitis.


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