Wednesday, January 18, 2017

New Definition for Meibomian Gland Dysfunction- Clogged Oil Glands.

New Definition for Mebomian Gland Dysfunction & Dry Eyes - Clogged Oil Glands

A large number of customers who come to TheraLife has Meibomian gland dysfunction (MGD).   It is the leading cause of dry eye syndrome world wide, and a major causes of evaporative dry eye. This blog is an attempt to help customers understand this very difficult to treat condition, and their therapeutic outcome

New definition has now been established by an International Workshop Group

Definitions MGD from International Workshop

The first global consensus report on meibomian gland dysfunction was published in a March 2011 special issue of the Investigative Ophthalmology & Visual Science (IOVS) journal. , The International Workshop on Meibomian Gland Dysfunction was conducted by the Tear Film & Ocular Surface Society (TFOS). This  report is from a two-year-long workshop composed of more than 50 leading clinical and basic research experts worldwide.
The Meibomian Gland Dysfunction Workshop report provides new evidence-based definitions of some common terms:
  • Blepharitis: a general term that describes inflammation of the eyelid as a whole
  • Anterior blepharitis: inflammation of the lid margin, anterior to the gray line.
  • Posterior blepharitis: inflammation posterior to the gray line. It is important to note that MGD is one of many potential causes of posterior blepharitis, and these terms should not be used interchangeably.
  • MGD: stands for meibomian gland dysfunction, not meibomian gland disease. The term dysfunction is used because the function of the meibomian glands is disturbed.Meibomian gland disease is used to describe a broader range of meibomian gland disorders, including neoplasia and congenital disease.MGD is newly defined as:
    A chronic, diffuse abnormality of the meibomian glands, commonly characterized by terminal duct obstruction and/or qualitative/quantitative changes in glandular secretion. It may result in alteration of the tear film, eye irritation, clinically apparent inflammation, and ocular surface disease.

High and Low Delivery States of Meibomian Glands

MGD is further divided into two categories based on meibomian gland secretions: low-delivery and high-delivery states.

1.  Low Delivery cause Meibomian Gland Clogging
Low delivery (hypo-secretion) is the more common of the two and is further subdivided into hyposecretory (high secretion) and obstructive (clogging)

2.  High Delivery – Crusty and Sticky Build Up on Eye Lashes
High-delivery, hypersecretory MGD is characterized by the release of a large volume of lipid at the lid margin (crusty or sticky build up on eye lids) that becomes visible on application of pressure onto the tarsus ( eye lid)  during examination.  This build up is especially evident in the morning upon wakening.  Patients report having to wash their face with large amounts of water to loosen the eye lid.

Treatment Options for Meibomina Gland Dysfunction

Typical treatment options include hot compresses, eye lid margin cleaning on daily basis.  Steroid eye drops are often used to reduce inflammation. For chronic cases,  oral anti-biotics are prescribed to inhibit eye infections.

TheraLife Eye can Help!

Meibomian Gland Dysfunction is often accompanied by low tear volume ( suppressed lacrimal glands).

TheraLife Eye restores normal functions to al tear secretion glands intra-celluarly.  It also contains natural ingredients that has strong anti-inflammatory properties.

The benefits of using TheraLife eye includes:

1. Avoid  the use of steroids which has negative side effects. .
2. Restore tear volume with your own tears
3. Use in conjunction with hot compresses, eye lid cleaning to maintain normal meibomian gland function
Use TheraLife Eye  to help put your life back on track!

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1 comment:

  1. Do you have dry eyes? Most likely you also have MGD - meibomian gland dysfunction - clogged oil glands. Get help from TheraLife. Call 1-877-917-1989 and ask for Dr. Yang