Intraductal meibomian gland probing: background, patient selection, procedure, and perspectives

Clinical Ophthalmology
Steven L Maskin, Sreevardhan Alluri

Abstract

Obstructive meibomian gland dysfunction is the most common cause of dry eye. Its conventional treatment has focused on using heat and pressure with anti-inflammatory and antimicrobial therapies but has often been a frequent, frustrating experience for patient and physician. New evidence from Meibomian gland intraductal probing suggests fixed intraductal strictures and obstruction correlating to periductal fibrosis first described in 1997. The use of intraductal probing has been reported, by this author and in at least ten independent peer-reviewed academic papers from around the world, to consistently lead to statistically significant improvement in signs and symptoms of gland dysfunction including cases refractory to other extensive treatments. This review will focus on the background of meibomian gland intraductal probing as well as patient selection, procedure, and perspectives.

Citations

Feb 29, 2020·The British Journal of Ophthalmology·Steven L Maskin, Sreevardhan Alluri
Dec 23, 2020·Survey of Ophthalmology·Morten MagnoTor Paaske Utheim
Mar 3, 2021·Survey of Ophthalmology·Morten S Magno
Apr 16, 2021·American Journal of Ophthalmology·Sandra Lora CremersAlberto Martinez

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Methods Mentioned

BETA
confocal microscopy
lavage

Software Mentioned

Adobe Photoshop
Restasis

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