Hello@medical question. I have had almost identical experience you described. I recently found a doctor who actually listened to me and I have just started with his treatment plan. He is Dr Rolando Toyos. He is located in Nashville,Tennessee but he does video conferences visits for people who are not within driving distance. Dr Toyos is an ophthalmologist. He specializes in Dry Eye and it’s various causes. He did a through history and diagnosed me as having Demodex mites from all the clinical evidence from my history and physical I have dry eye, rosacea, “eye and eyebrow dandruff “ I am on steroids s long term for Rheumatoid Arthritis. His recommendations for me was a prescription face cleanser, face wipes with hyaluronic acid, eye drops, eye gel and Ivermectin cream. He also gave me a IPL (intense pulsed light) a type of laser treatment to open my glands that were blocked in my upper and lower eyelids. My face was horrible and after just 5 days it was 70% clear! I had already had 2 rounds of Ivermectin oral tablets that I received from Posh Medical a telemedicine group of doctors. That had calmed the mites down enough that I wasn’t wild with the constant itching. Dr Toyos has several You Tube videos discussing the various treatments that he uses. So you can get a feel of what he is like before committing to an appointment. He also has written a book the Dry Eye Diet that is available from Amazon for the kindle or you can order the book from his office.. this treatment plan was not cheap. But I had been fighting these mites for a year and this was a priority for me. His contact information is on his website at teamtoyos After an agonizing year dealing with all the doctors who really had NO knowledge of Demodex mites, Dr Toyo’s was like a breath of fresh air! Sorry this is so long. I hope this information will be helpful.