Stenosed Glands in Meibomian Gland Dysfunction
![Stenosed gland orifices in a case of meibomian gland dysfunction.](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=sFPdp5N4 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=S1Hb1nzl 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=Q12r0vKv 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=7xLHhVon 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=_mMXgd-R 450w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=tqK8B7nv 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=Fx1bP4Ac 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=BKFNDp9v 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=mqKUa1dG 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-03/stenosed-glands-meibomian-gland-dysfunction.jpeg?itok=gPInkyBh 1280w)
Inflammation of meibomian glands together with meibomian gland dysfunction is commonly seen in patients with acne rosacea.
Clinical Features
- Lid margin vascular engorgement and stagnantion of meibomian gland secretion.
- The gland orifices may become stenosed and when pressure is applied to the lid margin, oil secretion can be expressed through the stenosed orifices.
- Chronic meibomitis may lead to the thickening and blunting of the lid margin, which causes gland orifices obliteration.
- This may progress to chronic granuloma infection (chalazion).
- In a later stage of the gland dysfunction, subsequent superficial punctate keratitis, corneal neovasculatization and scar may result.
- Diagnosis is usually made clinically, however in a particular case where the lesion simulates malignant lesion and clinical differentiation is difficult, biopsy confirmation is required
Treatments
- Lid hygiene
- Warm compress
- Topical or systemic antibiotic
- Possible surgical incision to enhance drainage