Evidence map›Paper›PMID 42381191›Full record

ReviewEye & contact lens2026

Ivermectin in the Management of Demodex -associated Blepharitis: A Comprehensive Literature Review.

Matilde Buzzi, Pietro Sponga, Andrea Angheben, Alberto Carnicci, Fabrizio Giansanti, Rita Mencucci

Abstract readReview
In one paragraph

Review in Eye & contact lens, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Matilde Buzzi(M.B., A.C., F.G., R.M.), Eye Clinic, University of Florence, Florence, Italy; Implementation Research Group (P.S.), Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany; and Department of Infectious (A.A.), Tropical Diseases & Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Verona, Italy.ORCID 0000-0002-2142-4596
Pietro Sponga
Andrea Angheben
Alberto Carnicci
Fabrizio Giansanti
Rita Mencucci

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review the role of Demodex infestation in blepharitis and summarize available evidence on the efficacy and safety of topical and oral ivermectin.

methodsThis narrative review was conducted through collaboration between expert ophthalmologists and infectious diseases specialists with clinical experience in the use of ivermectin. A literature search was performed in PubMed and Embase from inception to November 2025.

resultsEvidence from clinical trials, observational studies, and case series was reviewed and synthesized. Ivermectin, administered orally or topically, has been investigated as a potential treatment option for Demodex -associated blepharitis, either as monotherapy or in combination with other therapies. Across different treatment protocols and patient populations, ivermectin use was generally associated with reductions in Demodex mite density, improvement in cylindrical dandruff, ocular surface parameters, and patient-reported symptoms. Reported adverse events were infrequent and predominantly mild.

conclusionsCurrent evidence suggests that ivermectin may represent an effective and overall safe therapeutic option for Demodex -associated blepharitis. Further studies are needed to establish standardized treatment regimens and to assess long-term outcomes.

Indexed as

Antiparasitic AgentsBlepharitisEye Infections, ParasiticIvermectinMite InfestationsMitesAdministration, OralAnimalsHumansAntiparasitic AgentsIvermectinAntiparasitic therapyIvermectinOcular surface diseaseRosacea

Identifiers

PMID42381191
PMCPMC13623070

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.