The comprehensive review of meibomian gland dysfunction (MGD) treatment using hot towel applications to the eyelids by Magno and coauthors [
] concluded that “long-term treatment appears to be safe as long as the towels are not heated beyond safe limits or applied with excessive force”. Another recent review of other methods used to treat MGD (specifically, using devices that direct heat and/or pressure to the eyelids, as well as intense pulsed light treatment combined with gland expression), by Bzovey and Ngo [
- Magno M.S.
- Olafsson J.
- Beining M.
- Moschowitz E.
- Lagali N.
- Wolffsohn J.S.
- Craig J.P.
- Vehof J.
- Dartt D.A.
- Utheim T.P.
Hot towels: the bedrock of meibomian gland dysfunction treatment – A review.
Cont Lens Ant Eye. 2022; (in press)
] concluded that “these methods were generally safe to use”.
- Bzovey B.
- Ngo W.
Eyelid warming devices: safety, efficacy, and place in therapy.
Clin Optom. 2022; 14: 133-147
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- Hot towels: the bedrock of meibomian gland dysfunction treatment – A review.Cont Lens Ant Eye. 2022; (in press)
- Eyelid warming devices: safety, efficacy, and place in therapy.Clin Optom. 2022; 14: 133-147
- Experimentally-increased intraocular pressure, using digital forces.EyeCont Lens. 2007; 33: 124-129
- Ocular massage before cataract surgery.Trans Am Ophthalmol Soc. 1985; 83: 205-221
- The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction.Invest Ophthalmol Vis Sci. 2011; 52: 2050-2064
- Intraocular pressure spikes in keratectasia, axial myopia and glaucoma.Optom Vis Sci. 2008; 85: 1018-1026
Published online: February 04, 2023
© 2023 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
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- Hot towels: The bedrock of Meibomian gland dysfunction treatment – A reviewContact Lens and Anterior EyeVol. 46Issue 2
- PreviewMeibomian gland dysfunction (MGD) reduces quality-of-life and hinders work productivity of millions of patients, with high direct and indirect societal costs. Thickened meibum obstructs the glands and disrupts ocular surface health. Heating the eyelids to soften and express meibum from the glands can be beneficial. The most accessible method for eyelid warming uses heated, wet towels. However, the efficacy of this treatment is reliant on the methodology, and evidence-based best-practice recommendations are needed.
- Risk associated with treatments for meibomian gland dysfunctionContact Lens and Anterior EyeVol. 46Issue 2
- PreviewWe would like to begin by thanking Professor McMonnies for taking an interest in our recent work on hot towel warm compress treatment for meibomian gland dysfunction . We value the input and comments presented in his Letter and concur that the management of periods with elevated intraocular pressure (IOP) is important to bear in mind when advising patients with ocular surface disease.