0

In Vitro Anti-Demodectic Effects and terpinen-4-ol Content of Commercial Eyelid Cleansers

Isabella M Y Cheung, Ally L Xue, Andy Kim, Kirsty Ammundsen, Michael T M Wang, Jennifer P Craig

Cont Lens Anterior Eye. 2018 Dec;41(6):513-517.

PMID: 30120003

Abstract:

Purpose:
To compare the in vitro anti-demodectic activity of four commercially available dedicated eyelid cleansers (Cliradex® towelette cleanser, Oust™ Demodex® cleanser, Blephadex™ eyelid foam, TheraTears® SteriLid® eyelid cleanser), tea tree oil, undiluted terpinen-4-ol and linalool; and to assess the terpinen-4-ol content of the commercial cleansers and tea tree oil.
Methods:
In vitro anti-demodectic efficacy assessment: 93 viable Demodex mites were acquired from the epilated eyelashes of 10 participants, and were randomised to application with one of the four eyelid cleansers, 100% and 50% tea tree oil, undiluted terpinen-4-ol and linalool, or no treatment. Following treatment application, mite viability was assessed for 300 min, based on limb/body movement and/or the development of a crenated/translucent appearance. Kaplan-Meier survival analysis was then performed.
Mass spectrometry analysis:
The absolute concentration of terpinen-4-ol and the relative abundance of linalool in the four eyelid cleansers and tea tree oil were determined.
Results:
In vitro anti-demodectic efficacy assessment: No significant differences were observed between undiluted tea tree oil, terpinen-4-ol and linalool (all p > 0.05). Although all commercial eyelid cleansers effected lower mite survival probabilities than the untreated group, Cliradex® was the only eyelid cleanser that demonstrated comparable antiparastic activity to 50% tea tree oil (p = 0.36).
Mass spectrometry analysis:
Among the four eyelid cleansers, Cliradex® contained the highest concentration of terpinen-4-ol, while linalool was present in TheraTears® SteriLid® only.
Conclusions:
Of the four commercial eyelid cleansers, Cliradex® demonstrated the highest levels of in vitro anti-demodectic activity and terpinen-4-ol content. Undiluted linalool and terpenin-4-ol showed comparable antiparasitic efficacy, and the use of linalool in the management of demodectic blepharitis warrants further investigation.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP2438100 (+)-Terpinen-4-ol (+)-Terpinen-4-ol 2438-10-0 Price
AP562743 Terpinen 4-ol Terpinen 4-ol 562-74-3 Price
qrcode