10/30/2026
Case of the week : A 65 year old patient presents with a complaint of increasing redness, irritation, and watery eyes. He reports his eyes feel dry but they are still watery. Examination revealed meibomian gland dysfunction.
Meibomian Gland Dysfunction (MGD) is a rather common condition where the oil glands that line the upper and lower lids become blocked and do not express properly. This oil is important because it covers the natural tears and protects them from evaporation.
Symptoms:
* Burning or stinging eyes
* A gritty sensation, as if sand is in the eyes
* Redness and irritation
* Blurry vision that comes and goes
* Watery eyes, even though the eyes feel dry
* Contact lens discomfort or reduced wearing time
* Eyelid inflammation, crusting, or recurrent styes
Treatment:
For mild cases, treatment consists of warm compresses and artificial tear use. For moderate to severe blockage, doxycycline can be utilized to help loosen the oil. Also, in office heating and manual expression of the oils can be done. We currently do these treatments with our Ilux2 device. Below is a short video of the patient’s treatment.