Meibomian gland dysfunction causing blepharitis (Video)

This is an eye with meibomian gland dysfunction. You can see the meibomian glands as little white pores along the eyelid margin. These glands produce oil which is an important component of the tear film (the oil keeps the tears from evaporating too quickly). When the meibomian glands clog up, the oil gets thick and can cause surface irritation.

In this video you can see that the oil comes out like toothpaste when the gland is pressed with a q-tip.

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Meibomian glands
Here is a photograph of the eye. If you examine the lower eyelid, you can see small light-colored poors along the margin. These are the orifices to the meibomian glands that produce oils for the tear film.
Expression of gland
This photograph shows the expression of oil from the meibomian glands of the lower eyelid.
Blocked Glands
Blocked gland
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Dr. Timothy Root is a practicing ophthalmologist and cataract surgeon in Daytona Beach, Florida. His books, video lectures, and training resources can be found at:

17 COMMENTS

  1. Very good, but do you have any video images which show the degree of telengectasis that often accompanies MGD? On pale skin, it might be a predictor.

  2. As someone who has to express glands and is never sure I am yielding the correct material or using the right pressure, the video was very welcome.

  3. hello im lui freites,,,,,and i suffer from blepharitis ,,,,,and this i would like to know if can be cure by oparation ??? because i dont know waht to do,,,,, i have blepharitis very very strong ,,,,, and my eyes look allways red ( around my eyes ) so please give more information on that ,,,, or if i can do an operation,,, no matter if is very expensive ,,,,
    thanks so much
    luis freites

  4. Hi,
    My doctor performed this and after that incident onwards i am feeling scared about the pressure he applied

    will such pressure cause damage to eyes or glaucoma

    thanks in advance

  5. Hi there, The video was very helpful. I am suffering from blepharitis and I just couldnot function my life properly. How can I get more information regarding this operation? Many thanks.

  6. I suffer from blepharitis. Was never told that there are different types of blepharitis. Was told it was not curable and to just live with it. I have severe blisters in the corners of each eye on upper eyelids. I am also scared from previous blisters. Very painful and itchy. Makes me very nervous and anxious. Horrible decease to live with.
    I live in South West Louisiansa. Would like to know of a doctor to treat this. Not look at it and say that I have it and that there is no cure live with it. Please help me.

  7. I was told years ago that I had dry eyes, in part due to aging. Then was told had sensitive eyes due to medications, causing dryness? Then noticed with OTC tears or eye drops, eyes felt fine, until dealing with cat litter, no matter how “Dustless!” produced itchy, red eyes. wore large sunglasses re iitter, no problem. Then noticed that wind, if it reached eyeballs made them really sore, burnt feeling. – Wind and sun are very drying, witness sunburnt, windburnt skin. Took the problem to family doc, who diagnosed blepharitis. Nothing on eyelids, only troubled by symptoms after particular circumstances have occurred. Is this blepharitis or is it DRY eyes?

    Shank you.

  8. Hello,

    My 21 year old brother has had an eye oil gland issue for several years now. He is in severe pain if he is in a room with circulated air, if wind blows in his eyes, when he looks at the television or any flashing lights, and/or he is anywhere where exposed air comes in contact with his eyes. He has tried every drop under the sun, including some homopathic remedies involving cayenne pepper. He has had the oil glands pierced numerous times and recently underwent an extremely painful procedure where his oil glands were heated with a machine which actually caused his oil production to worsen. Does anyone know of anyone who has experienced this debilitating problem? He is pretty much home bound as he is in pain wherever he goes. We are desperate for any info anyone can give to help out with this. Thanks!

  9. Sometimes other antibody tests are used along with the SSA and SSB blood test to help make the
    diagnosis of Sjogren’s but the final diagnosis is made based on clinical findings along with antibody testing.
    An OTC lubricating drop is commonly recommended for red eyes.
    The particular foremost factor with be considered is certainly not to share one.

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