The meibomian glands secrete a lipid-rich fluid that reduced water evaporation from the surface of the eye. Meibomian gland dysfunction decreases this fluid and can contribute to dry eye.
When to consider evaluating a patient for obstructive meibomian gland dysfunction:
(1) dry eye with unstable tear film
(2) unexplained damage to the ocular surface epithelium
(3) chronic blepharitis
(4) contact lens intolerance
(5) giant papillary conjunctivitis
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