![]() The key thing to remember is that the warmer the better but do not burn your skin. I recommend massaging for 20 seconds with warm water applied to eyelids at same time (mostly to save time), or with a warm compress as noted below. How should I massage my eyelid margin? And can I massage my eyelids too much? Studies show massaging pumps out the oil, especially if the oil has been melted with warm compresses beforehand.Ħ. Furthermore, the minimal amount of liquid secretion obtained upon diagnostic reexpression after drainage suggests that a meibomian gland in this condition may contain inadequate liquid secretion to be available with habitual blinking, which applies a force less than 1 g/mm 2. At that serial expression when liquid secretion is first observed, it then takes approximately half of the time required to drain the gland originally to redrain the gland, indicating a partial recovery. After a central optimally secreting gland has been drained of its liquid secretion, it takes a mean time of 2.17 ± 0.49 hours to again secrete liquid during waking hours, using the same amount of force to express the new liquid secretion. “The results show that a single central meibomian gland can be drained of its liquid secretion in 8-20 seconds upon application of a constant force of 1 g/mm 2. The only good study I could find to say it was superior is called the Bundle Method. How exactly should I do the warm compresses? Thus it may be better to do warm compresses more often (but not within 2 hours of each session–see below) 3 times a day instead of 2 times a day for as long as you can.ģ. But no one I know really has 15 minutes 2-3 times per day to do there warm compresses. For how long should I put the compress on?ĭr. They created the LIPIFLOW machine which provides steady state temperature of 42.5☌ for 12 minutes at the eyelid margin.įor daily cleaning, this means the water should be very warm but not hot enough to cause pain or burn the skin.Ģ. Based on the most conservative safety thresholds in the literature, temperatures below 40☌ will not result in thermal injury to the cornea or crystalline lens.(Reference 1 below) However, increasing temperature without safety controls raises the issue of potential thermal damage to the cornea. Therefore, each degree of temperature increase over 40☌ could be critical in melting severely obstructed material. Only using mildly war m water may not be adequate to relieve the meibomian gland obstruction. Reported melting temperatures of normal meibomian secretions vary significantly with the majority of reports ranging from 32 to 40☌ severely obstructed meibomian glands have considerably higher melting points. ![]() Blackie, who are excellent optometrists, have done the most research on this question that I could find thus far: But there is some data to answer some of these questions:ĭr.
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