{"id":46,"url":"https://cclm.media-doc.io/conditions/46/","name":"Meibomian Gland Dysfunction (MGD)","category":"Lid","detail":"<p>Limbal engorgement, limbal redness</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Smeary vision</li>\n\t<li>Dryness</li>\n\t<li>Lens intolerance</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Yellow, buttery expression from meibomian glands in severe cases</li>\n\t<li>Tear meniscus frothing</li>\n\t<li>Decreased or no secretion from meibomian glands</li>\n\t<li>Poorly wetting lens(es)</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Blocked meibomian glands due to abnormal meibomian oils</li>\n\t<li>Ductal epidermis turnover increased</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/69\">Dry eye</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Lid therapy. For example, hygiene, heat and gentle massage twice daily</li>\n\t<li>Mechanical expression</li>\n\t<li>Omega-3 supplements may help</li>\n\t<li>Surfactant lens cleaning</li>\n\t<li>May consider switching to daily disposables to prevent lens contamination with meibomian oils</li>\n</ul>","images":[{"name":"Meibomian Gland Dysfunction (MGD)","file":"https://cclm-static.s3.amazonaws.com/images/mgd-01.jpg"},{"name":"Meibomian Gland Dysfunction (MGD)","file":"https://cclm-static.s3.amazonaws.com/images/mgd-02.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":false,"changeLens":false,"changeSolutions":false,"changeCare":true,"counseling":true,"dd":true,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":true,"SiHy":false,"toric":false,"tags":[{"id":7,"url":"https://cclm.media-doc.io/tags/7/","name":"conditions"}]}