Dysfunction of the meibomian glands and dry eye syndrome in a refractive patient (clinical case)

Dysfunction of the meibomian glands, characterized by obstruction of the terminal excretory ducts of the meibomian glands and accompanied by qualitative and/or quantitative changes in the secretion of these glands, is the main cause of the evaporative form of dry eye syndrome due to the lack of proper intake of phospholipids into the lipid layer of the tear film. The main complaints of patients with dysfunction of the meibomian glands and associated evaporative dry eye syndrome are a feeling of sand and dry eyes, irritation of the edges of the eyelids, redness of the ocular surface. In this regard, an important aspect is timely screening of the condition of the ocular surface for dysfunction of the meibomian glands and dry eye syndrome for optimal and comfortable visual work. The article presents a clinical case of a course of conservative treatment to restore the ocular surface and secretory work of the meibomian glands using a microsurgical instrument for eyelid massage developed on the basis of the scientific and technical department.