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all right hi my name is Nick pond Ellis Iamp;#39;m an ophthalmic photographer and research assistant at Tufts Medical Center working in the lab of dr. Pedram Hamra and his lab mostly focuses on dry eye and Cornell neuropathy but we have increasingly been imaging the eyelashes and the base of them specifically looking for demodex folliculorum we have found that we can reliably identify and now to quantify the mites as well and what we have been using this information for is to guide our treatment based on the actual patientamp;#39;s physiological you know they respond to the treatment on a day or visit by visit basis so right now thereamp;#39;s kind of a cookie cutter treatment for you know you say you do two weeks on a week off or any other ivermectin is used and those kinds of things are done more abstractly and thereamp;#39;s what weamp;#39;re trying to do is specifically tailor the treatment to each patient so what weamp;#39;ve found is as you can imagine after treatment there