06/10/2026
Meibomian Gland Dysfunction (MGD)
Signs of meibomian gland dysfunction
➡️Eyelid Margins
* Thickening and irregularity
* Increased rounding of the posterior lid margin
* Increased vascularization (invasion till the outer cuffs of the or***ce)
* Hyperkeratinization
➡️Mucocutaneous junction
* Anteroplacement and retroplacement
* Mucosal absorption
* Ridging (elevation of the junction)
➡️Orifices
* Reduced number
* Capping of the or***ces with solidified dome of oil
* Pouting
* Fiber optic sign
* Distortion and obliteration
➡️Ducts
* Exposure
* Cystoid dilatations
➡️Secretions
* Cloudy
* Granular
* Inspissated toothpaste-like
* Foam on the eyelid margins
➡️Tear film
* Rapid breakup time
* Foam
* Prominent interference pattern
* Debris
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