86% of Patients with Dry Eye have MGD.
It’s Treatable.


speedTest WidgetMillions suffer from the constant ocular discomfort that may include burning, itching or a scratchy feeling, the common symptoms of Dry Eye.  Treatments have included drops, warm compresses and certain medications but none have proven overly effective unless there was an actual problem with tear production.   Over the past 15 years, research has revealed that the leading cause of eye discomfort for over 86% of patients with dry eye is not related to a lack of tear production, rather blockage of the tiny glands in our eyelids known as meibomian glands.  When these glands become blocked, our eyes are not able to produce the necessary oils to protect the watery layer on the tear film and causes this watery layer to evaporate leaving the eye surface exposed.   Thus, those uncomfortable Dry Eye symptoms are likely a result of blocked meibomian glands, creating an unstable tear film. This condition is called Meibomian Gland Disease (MGD) and affects the majority of patients with Dry Eye.

Diagnosing And Treating MGD

MGD is a disease best detected in its earliest stages and then managed to limit progression.  If MGD is not addressed and treated, the result can be long-term structural damage of the glands and even permanent gland loss.  When MGD occurs, the protective oil that normally flows from the eyelid’s meibomian glands slows or stops.  When you blink, the glands release this essential oil that acts as the front line of protection for the tears, lubricating the surface of the eyes. A routine check for MGD as a part of any eye exam is recommended. At Western Wake Eye Center, we employ the latest technology to ensure accurate assessment of MGD.


LipiFlow TreatmentThe clinical science behind MGD as the primary cause of dry eye and its treatment is supported by over 25 years of scientific research. Gland blockages can be removed to restore proper gland function and reduce the progression of MGD, provided your gland structure is healthy. LipiFlow is the only FDA cleared treatment that properly heats the inside and outside of the eyelids while providing a gentle massaging action to properly remove gland blockages.  Most patients receiving treatment notice improvement with symptoms over time  but may need regular treatment every 1-2 years.  The treatment is virtually painless and takes less than 12 minutes.

Dr. Flemming can can determine if you have MGD and if the LipiFlow treatment is right for you.  If you have Dry Eye or suspect you have Dry Eye, remember the root cause may be MGD and its treatable.

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Learn more about Dry Eye and MGD.