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    In-office MGD treatments may provide relief but lack formal studies

    Patients must play a role in MGD care; surgeons need a systematic treatment approach


    Another treatment for patients with MGD (BlephEx) consists of a medical-grade disposable micro-sponge that is applied to the edge of eyelids and lashes. The device removes debris and exfoliates eyelids. The treatments last about 6 to 8 minutes, and patients must maintain good eyelid hygiene and return for treatment every 4 to 6 months.

    “In theory, it looks pretty good, but there is no data to show it’s beneficial,” Dr. Davidson said.

    A fourth device (MiBoFlo ThermoFlo, MiBo Medical Group) is a thermoelectric heat pump that liquefies the meibum and facilitates the expression of gland secretions. Heat is applied to the outside of the lids, breaking down hardened material inside the glands. The treatment takes up to 12 minutes each eye.

    One study showed improvement in 73% of patients who had had previous Lipiflow, Dr. Davidson said.

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