Meibomian Therapy in Problematic Contact Lens Wear

Ex vivo heat retention of different eyelid warming masks

“…The facecloth is poor at retaining heat at the desired temperature for the required 5-10 min, which is typically recommended by ECPs for MGD therapy. This is not to take anything away from the time-honored warm facecloth therapy, which has shown to improve symptoms, the lipid layer and tear film stability [10,16,18,32]. Even Olson et al [10] demonstrated that the lipid layer thickness was enhanced using a warm facecloth that was kept >38 • C by reheating it every 2 min.…”

Increase in Tear Film Lipid Layer Thickness Following Treatment with Warm Compresses in Patients with Meibomian Gland Dysfunction

“…Paugh et al 2 reported that after 2 weeks of both warm compress treatment and eyelid scrubs there A score of 3 or more for severity and a score of 3 or more for frequency were prerequisites for entrance into the study.…”

“…Warm compresses have been recommended as a therapeutic treatment for conditions of the eyelids that include meibomian gland dysfunction (MGD), [1][2][3][4][5] internal hordeolum (chalazion), 6,7 external hordeolum, 8 and blepharoconjunctivitis. 9 Typically, a hand towel or face cloth is soaked and heated with hot water, excess water is wrung out, and the cloth is then placed over the skin of the closed eyelids for several minutes.…”

Meibomian gland dysfunction

“…Specifically, patients suffering from CL-MGD may display a reduced tear break-up time (measured either with fluorescein or non-invasively). 7 Examination of the tear layer in specular reflection using a tearscope may reveal a contaminated lipid pattern, which is exacerbated by the use of cosmetic eye make-up 10 (see Appendix B). These techniques are difficult to use as a considerable amount of subjectivity is required in making the assessment.…”

“…Paugh et al 7 conducted a controlled, single-masked clinical trial examining the symptomatic and therapeutic benefits of a combined treatment of warm compresses and lid scrubbing in patients suffering from CL-MGD. These procedures were applied to one eye only, chosen at random, for two weeks, with the contralateral eye acting as a control.…”