We published a peer-reviewed article, “A unification theory for dry eye and blepharitis,” in Clinical Ophthalmology in 2016.
The article explained how biofilm along the margin and within the structures of the eyelid allows bacteria to produce toxins that elicit an inflammatory response that never abates.
This chronic inflammation slowly and sequentially damages the lash follicles, meibomian glands and lastly the lacrimal glands, leading to what has been commonly referred to as dry eye disease or lid margin disease.
When early talks on dry eye blepharitis syndrome began in 2014, the