Diagnosing MGD

The diagnosis of MGD is made by taking a thorough history and examining your eyes with a biomicroscope. Special attention is paid to evaluating your Meibomian gland orifices (openings), eyelashes, eyelids and eyelid margins. Gentle digital pressure is applied to assess the quality and quantity of the oils secreted by your glands which reflects the functioning of your Meibomian glands.

The gold standard to directly evaluate your meibomian glands structurally is to image them using advanced technology known as LipiScan. LipiScan is a meibographer which captures images of your meibomian glands. Using this state-of-the-art technology your meibomian glands can be viewed to assess and quantify them structurally.

lipiscan

The Meibomian glands appear as white vertical lines in the eyelids in the photos below:

DMI-Normal-vs-MGD-Gland Comparison
Almost complete loss of meibomian glands in the eyelid
Almost complete loss of meibomian glands in the eyelid

Once your Meibomian glands have been evaluated, and depending upon the degree to which Meibomian gland dysfunction is an issue for you, Dr. Muller will discuss your treatment options. Dr. Muller's recommendations can range from homeopathic/natural treatments, to treatments involving medications and mechanical cleansing.