Look at the Lids for Collarette Detection | Look at the Lids
JEANETTE, real demodex blepharitis patient

Once you see it, you can't unsee it

Just ask your patients to look down

The mites may be too small to see, but the collarettes are not. All you need is a slit lamp to check for collarettes on the upper lid margin to easily diagnose Demodex blepharitis (DB).1

Patient looking straight ahead with lid lift; no collarettes are visible

Patient looking straight ahead with lid lift; no collarettes are visible

Same patient looking down; collarettes are visible

Patient looking down; collarettes are visible

Images by Elizabeth Yeu, MD

Slit lamp evaluation, 10x magnification

Patient looking straight ahead with lid lift; no collarettes are visible

Patient looking straight ahead with lid lift; no collarettes are visible

Same patient looking down; collarettes are visible

Patient looking down; collarettes are visible

Images by Paul Karpecki, OD

Slit lamp evaluation, 10x magnification

Patient looking straight ahead with lid lift; no collarettes are visible

Patient looking straight ahead with lid lift; no collarettes are visible

Same patient looking down; collarettes are visible

Same patient looking down; collarettes are visible

Images by Marc Bloomenstein, OD

Slit lamp evaluation, 10x magnification

Lid Library

See real-world photos of collarettes and lid redness from eye care professionals around the country

IMAGE CREDIT
Vin Dang, OD
IMAGE CREDIT
Elizabeth Yeu, MD
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Cory J Lappin, OD
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Alice Epitropoulos, MD
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Cecelia Koetting, OD
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Justin Schweitzer, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Marc Bloomenstein, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Ben Gaddie, OD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Vin Dang, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Neda Shamie, MD
IMAGE CREDIT
Caroline Watson, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Vin Dang, OD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Cecelia Koetting, OD
IMAGE CREDIT
Justin Schweitzer, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Marc Bloomenstein, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Cory J Lappin, OD
IMAGE CREDIT
Ben Gaddie, OD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Elizabeth Yeu, MD
IMAGE CREDIT
Vin Dang, OD
IMAGE CREDIT
Paul Karpecki, OD
IMAGE CREDIT
Neda Shamie, MD
IMAGE CREDIT
Caroline Watson, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Erick Henderson, OD
IMAGE CREDIT
Alice Epitropoulos, MD
IMAGE CREDIT
Alice Epitropoulos, MD
Icon of a Demodex mite

Demodex mites are associated with two-thirds of blepharitis cases1

Icon of a person

~58% of eye care patients may have Demodex blepharitis1

Lid margin redness is an objective sign of Demodex blepharitis2

Chances are, DB has already been in your chair

Collarettes can be frequently found in your patients1

69%
Blepharitis
patients
with Demodex
60%
Dry eye Rx patients with Demodex blepharitis
56%
Cataract patients with Demodex blepharitis
51%
Contact lens patients with Demodex blepharitis
69%
Blepharitis
patients
with Demodex
60%
Dry eye Rx patients with Demodex blepharitis
56%
Cataract patients with Demodex blepharitis
51%
Contact lens patients with Demodex blepharitis
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Reference

1. Trattler W, Karpecki P, Rapoport Y, et al. The prevalence of Demodex blepharitis in US eye care clinic patients as determined by collarettes: a pathognomonic sign. Clin Ophthalmol. 2022;16:1153-1164. 2. Fromstein SR, Harthan JS, Patel J, Opitz DL. Demodex blepharitis: clinical perspectives. Clin Optom (Auckl). 2018;10:57-63.