Meibomian Gland Expression

 

Meibography is a very important test that tells us about the structure of the glands and helps us to grade the level of meibomian gland dysfunction. It also helps us to identify the presence of any gland atrophy. It does not however, show us what is produced by the glands. For this reason, we perform manual gland expression as part of the initial assessment to help us with the correct diagnosis. The oily substance that it produced by the meibomian glands is called ‘Meibum’. When we manually express the glands, we can see the type and quality of meibum produced by each gland in both the upper and lower eyelids.

 

Heated meibomian gland expression is performed routinely as part of the initial assessment.

 

The expression is perform by hand using special meibomian gland expressing forceps. We usually record the process at the first visit so that we can show the patient what is being produced by their own glands. We believe that patient knowledge is a major step closer to managing the dry eye condition.

Manual gland expression is also offered as a treatment. Regular expression helps to remove the blockages that can build up over time.