How To Do Manual Cleaning of Clogged Oil Glands In MGD.
What is Lid Margin Debridement?
Lid scraping, also known as lid margin debridement or lid exfoliation, is a relatively recent addition to the treatment paradigm of MGD and dry eye. Its first reference in the peer-reviewed literature as a treatment option for these conditions was in 2013. Its premise is to remove any physical barriers that may interfere with meibum delivery not only to the lid margin, but also to the tear film.
The
anterior lid margin, aside from the meibomian gland orifices and lashes, is
histologically identical to the cornified epidermis of the skin. It, therefore,
naturally accumulates keratin, devitalized cells, and extracellular debris, all
of which are capable of obstructing the migration of meibum to the tear film.
With age, the Line of Marx (LOM), a linear pattern of staining in the region of
the mucocutaneous junction, thickens, heightens, undulates, and often displaces
anterior to the meibomian gland orifices. These changes are purported to be
secondary to an osmotic gradient within the tear meniscus that alters the
cellular morphology over decades. Similar to above, the elevated ridge of cells
in this area obstructs meibum migration.
How is Lid Margin Debridement Done?
Full
lid margin debridement entails scraping of both the keratinized lid margin
(from the mucocutaneous junction to the base of the lashes) and the thickened
LOM to facilitate meibum delivery to the tear film. Shown in our instructional
video is the former, as the latter is most effective with lissamine green to
allow visibility of the LOM. The technique, however, is identical. Korb and
Blackie performed this procedure on 16 symptomatic MGD patients and found that
symptoms and meibomian gland expressibility were significantly improved one
month post treatment compared to 12 untreated controls.
What’s
the best part about this procedure? You already have all the tools needed, a
spatula, spud, or even a product like a Q-tips Precision Tips Cotton Swab wet
with saline. Start lid scraping today and monitor your patients for changes in
signs and symptoms.
Blepharitis
and Meibomian Gland Dysfunction accounts for a high percentage of dry
eye patients who are no longer responsive to eye drops, steroid drops,
antibiotics. The tremendous amount of inflammation from dry eyes has
shut down the normal tear functions. TheraLife can help
How TheraLife Eye can Help!
Learn a new approach to treating Dry Eyes- by restoring tear glands to secrete balanced, sustainable, natural tears again. Your own tears, no more drops.To learn more go to:www.theralife.com
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Want to avoid the expensive cost of LipiFlow, IPL? See how you can manually unclog your meibomian oil glands. Learn from TheraLife
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