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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

    Take-home message: Surgeons have several in-office treatments available for meibomian gland dysfunction, but there are not many studies to show the long-term effectiveness.



    Denver—Although in-office treatments for meibomian gland dysfunction (MGD) can be helpful, patients also need to know that they must take a role in managing this chronic condition, said Richard S. Davidson, MD.

    Ophthalmologists must also systematically and consistently follow a treatment plan for patients with MGD to provide relief, said Dr. Davidson, associate professor and vice chairman, University of Colorado Health Eye Center, Denver.

    A solid treatment approach for MGD is crucial because the condition may well be the leading cause of dry eye, Dr. Davidson said. These patients often experience discomfort, and they make up a significant portion of office visits.

    “We probably all cringe on certain days when we see another burning, itching patient,” Dr. Davidson said.

    Additionally, an unhealthy ocular surface can affect surgical outcomes.

    At-home treatment has been the mainstay for MGD, and this has included warm compresses, eyelid scrubs, and gland expression performed by the patient, Dr. Davidson said.

    However, these treatments come with their own challenges, including poor compliance, inadequate heat levels, and patients only able to self-express the upper portion of the gland.

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