Demodex blepharitis management techniques currently revolve around improving eyelid hygiene. The idea is to control bacterial overgrowth, which can be a food source for the mites. Good lid hygiene using lid sprays or wipes containing hypochlorous acid can help to keep bacterial, fungal and viral pathogens of the eyelids under control. Oral doxycycline and azithromycin are effective in use for treatment of MGD.