What are your eyes doing? Do you know anything about MGD?

  In outpatients, there are often patients who complain of dry eyes, itchy eyes, foreign body sensation, burning sensation, and other discomforts. Some of these patients have been previously treated according to chronic conjunctivitis, that is, they have more or less used antimicrobial eye drops to spot their eyes, with unsatisfactory results and good and bad conditions. Some of these patients, if examined with specialized instrumentation, will be diagnosed with lid gland dysfunction (i.e., MGD) rather than simple conjunctivitis.  MGD is most often seen in older adults, has more cold climate onset than warm climate, and abnormalities such as androgen deficiency, dry syndrome, hypertension, hyperlipidemia, and rosacea can increase the risk of this disease. Eye examination may reveal changes in lid margin morphology, obstruction of the glandular orifice, and abnormal lid fat secretion.  It is advisable to eat a reasonable diet, avoid spicy and stimulating foods, get up and down on time, and improve the working and living environment. Patients can treat themselves daily with hot compresses and massage, either by steam fumigation with hot water at 40-45°C for 5-10 minutes or hot towels on the upper and lower eyelids (fumigate with eyes closed, beware of burns), followed by gentle massage of the upper and lower eyelids in the direction of the lid margin.