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Intraductal meibomian gland probing: background, patient selection, procedure, and perspectives

Authors Maskin SL, Alluri S

Received 16 February 2019

Accepted for publication 26 March 2019

Published 10 July 2019 Volume 2019:13 Pages 1203—1223

DOI https://doi.org/10.2147/OPTH.S183174

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Ms Justinn Cochran

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Video abstract presented by Steven L Maskin

Views: 400

Steven L Maskin, Sreevardhan Alluri

Dry Eye and Cornea Treatment Center, Tampa, FL, USA

Abstract: Obstructive meibomian gland dysfunction is the most common cause of dry eye. Its conventional treatment has focused on using heat and pressure with anti-inflammatory and antimicrobial therapies but has often been a frequent, frustrating experience for patient and physician. New evidence from Meibomian gland intraductal probing suggests fixed intraductal strictures and obstruction correlating to periductal fibrosis first described in 1997. The use of intraductal probing has been reported, by this author and in at least ten independent peer-reviewed academic papers from around the world, to consistently lead to statistically significant improvement in signs and symptoms of gland dysfunction including cases refractory to other extensive treatments. This review will focus on the background of meibomian gland intraductal probing as well as patient selection, procedure, and perspectives.

Keywords: meibomian gland dysfunction, meibomian gland probing, maskin probing, lipiflow,R IPL, dry eye

Erratum for this paper has been published

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