C55411: Lifting the lid on dry eye practice – part 4: case studies

Craig McArthur continues his series on developing a specialist care service for common ocular surface disorders with an in-depth look at an individual case of management of blepharitis and meibomian gland dysfunction

The last article in this series (Optician 02.12.16) offered an overview of blepharitis and meibomian gland dysfunction (MGD) and their management. After a brief revision of the main points made then, this article will describe atypical case where this knowledge is applied resulting in a successful outcome for the patient.

Table 1: Classification of MGD

As discussed previously, MGD can be further sub-classified (see table 1) into two major categories based on meibomian gland secretion as follows;

1 Low-delivery states – Low-delivery states can be further sub-classified as hyposecretory (decreased meibum delivery due to abnormalities in meibomian glands with remarkable obstruction) or obstructive (due to terminal duct obstruction).

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