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Correspondence| Volume 46, ISSUE 2, 101817, April 2023

Risk associated with treatments for meibomian gland dysfunction

Published:February 04, 2023DOI:https://doi.org/10.1016/j.clae.2023.101817
      The comprehensive review of meibomian gland dysfunction (MGD) treatment using hot towel applications to the eyelids by Magno and coauthors [
      • 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.
      ] 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 [
      • Bzovey B.
      • Ngo W.
      Eyelid warming devices: safety, efficacy, and place in therapy.
      ] concluded that “these methods were generally safe to use”.
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      References

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      Linked Article

      • Hot towels: The bedrock of Meibomian gland dysfunction treatment – A review
        Contact Lens and Anterior EyeVol. 46Issue 2
        • Preview
          Meibomian 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.
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      • Risk associated with treatments for meibomian gland dysfunction
        Contact Lens and Anterior EyeVol. 46Issue 2
        • Preview
          We 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 [1]. 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.
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