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    How lid therapy relieves obstructive MGD

    Novel device facilitates quick and effective massage of lid margins; improves meibum flow

    Santo Domingo, Dominican Republic—Lid therapy using a specialized instrument (Batlle Forceps) for mechanical compression of the meibomian glands is effective for improving the signs and symptoms of dry eye disease in patients with obstructive meibomian gland dysfunction (MGD), said Juan F. Batlle, MD.

    Dr. Batlle, medical director Centro Laser, Santo Domingo, Dominican Republic, evaluated the technique in a pilot study that enrolled 11 patients who had between 10 and 30 obstructed meibomian glands.

    Related news: How in-office MGD treatments may provide relief

    Individuals with atrophic MGD or having an inflammatory component to their lid margin disease were excluded as were patients with rosacea or chronic blepharitis due to seborrhea.

    Lid therapy protocol

    The lid therapy protocol involved application of warm compresses over the eyes for 30 minutes, deoperculation of the meibomian gland orifices, and massage of the lid margins using the forceps designed by Dr. Batlle. Each patient underwent three in-office treatments performed at an interval of 2 weeks between sessions.

    Related: How punctal plugs may influence tear osmolarity and aid in dry eye therapies

    Overall, outcomes evaluations showed reduction in the number and percentage of obstructed glands and improvements in meibum quality and measures of tear film quality and stability after just a single treatment.

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