Intraductal Probing

Treatment for moderate to advanced Meibomian Gland Dysfunction

Meibomian gland dysfunction or MGD is the most common cause of dry eye disease.  A number of factors cause obstruction to the openings of the meibomian glands.  Although the obstruction is mostly near the gland opening, it may also occur further down the gland tubule.  This causes changes to the quality of gland secretions, increased ocular inflammation and ultimately permanent damage to the glands themselves.

Intraductal probing involves using a fine, blunt probe to push through blockages and open the gland tubule thereby allowing the flow of oils onto the surface of the eye.  Probing is not permanent and will require additional treatments.  The combination of IPL and probing is the most effective way to manage obstructive MGD.

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Suffering with Dry Eyes?

Suffering from Dry Eyes?

How Effective is the Treatment?

Gland probing is not a first line treatment for MGD.  Patient selection is important and in general, we recommend probing when there are clear signs of meibomian obstruction in the presence of meibomian gland tissue.  The presence of gland structure is confirmed using meibography which is a method of visualizing the meibomian glands.

Numerous research studies have showed that probing consistently improves symptoms and signs in the majority of patients.  Probing is not surgery, it is a clinical procedure to remove obstruction within the glands, researchers have found that Intraductal probing is safe.

meibomian gland probing