In-office mechanical exfoliation of the lid margins, removing biofilm, debris, and Demodex collarettes. Typically performed every 4–6 months.
| System / variant | Provider / Manufacturer |
|---|---|
| BlephEx | BlephEx LLC |
| NuLids | NuSight Medical |
| ZocuLid (ZocuFoam + applicator) | Zocular |
| Manual debridement | Clinician with golf-club spud |