title: Dynamic Intraductal Meibomian Probing: A Modified Approach to the Treatment of Obstructive Meibomian Gland Dysfunction.
abstract: OBJECTIVE
  Obstructive meibomian gland dysfunction is a leading cause of ocular morbidity and its treatment remains a challenge. Meibomian gland probing was initially described in 2010. Here, the authors describe a modified technique, dynamic intraductal meibomian probing, which offers several advantages over the traditional approach including increased magnification, greater eyelid stabilization, enhanced anesthesia, and easier identification of gland orifices through the expression of meibum.
  
  
  METHODS
  The authors conducted a retrospective chart review of 70 eyelids with treatment-resistant obstructive meibomian gland dysfunction undergoing dynamic intraductal meibomian probing between January 2013 and April 2015.
  
  
  RESULTS
  Immediately after the procedure, 91.4% of cases experienced symptomatic improvement, and no complications were noted.
  
  
  CONCLUSIONS
  Dynamic intraductal meibomian probing is an effective and safe treatment for obstructive meibomian gland dysfunction that is resistant to traditional therapies.
authors.affiliation: Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, U.S.A.
authors.forename: Zeba A
authors.initials: ZA
authors.lastname: Syed
authors.forename: Francis C
authors.initials: FC
authors.lastname: Sutula
mesh_terms: D005141:Eyelid Diseases / Q000378:metabolism / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008537:Meibomian Glands / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013666:Tears / Q000378:metabolism*