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Successful management of chronic Blepharo-rosacea associated demodex by lid scrub with terpinen-4-ol

PURPOSE: To report a successful treatment of chronic rosacea associated ocular demodicosis with lid scrub containing terpinen-4-ol (T4O). OBSERVATIONS: A 72-year old woman presented with recurrent and refractory ocular erythema, irritation, dryness, and photophobia despite conventional medical treat...

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Detalles Bibliográficos
Autores principales: Yin, Han Y., Tighe, Sean, Tseng, Scheffer CG., Cheng, Anny MS.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326346/
https://www.ncbi.nlm.nih.gov/pubmed/34368495
http://dx.doi.org/10.1016/j.ajoc.2021.101171
Descripción
Sumario:PURPOSE: To report a successful treatment of chronic rosacea associated ocular demodicosis with lid scrub containing terpinen-4-ol (T4O). OBSERVATIONS: A 72-year old woman presented with recurrent and refractory ocular erythema, irritation, dryness, and photophobia despite conventional medical treatment (artificial tears, hypochlorous acid lid hygiene, doxycycline, and erythromycin) for 5 years. Examination revealed facial erythema, telangiectasias on cheeks, nose and lids, and cylindrical dandruff (CD) on bilateral upper and lower lashes. Epilation sampling confirmed demodicosis. After treatment with lid wipe containing T4O (Cliradex, Biotissue, Miami, FL) over face and lids, ocular discomfort, CD, facial and eyelid erythema, telangiectatic vessels were significantly reduced. Complete eradication of demodex mites and resolution of symptoms and signs lasted 8 months of follow-up. CONCLUSIONS: This case suggests that T4O is effective in treating chronic rosacea associated ocular demodex blepharitis.