For many years, I have seen older patients with obvious meibomian gland dysfunction at the lid margin, often combined with blepharitis. Their gland openings are problematic, but when we do meibography, the internal glands are intact.
Today, at least half of the patientswho come to me are younger than 50 years of age, and I have been seeing younger patients who have beautiful lid margins but are symptomatic with dry eye. In some cases, the condition is so extreme that they have neovascularization of their corneas. When we do meibography, (Read more...)