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Meibomian Gland Thermal Therapy and Expression

Controlled heat softens the clogged contents of the Meibomian glands, then gentle expression clears them. Restores the tear film's oil layer in evaporative dry eye.

Meibomian Gland Thermal Therapy and Expression

What Is Meibomian Gland Thermal Therapy?

Meibomian gland thermal therapy and expression is a treatment that clears clogged glands along the eyelid margin, the ones responsible for producing the tear film’s oil layer. It’s one of the cornerstones of treating evaporative dry eye, the most common form of dry eye.

It works in two steps: first, controlled heat softens the thick, trapped contents inside the glands. Then, expression empties and unclogs them. Once freed, the glands go back to producing the oil that keeps tears from evaporating too fast.

The Problem It Solves

Over time, screen use, blepharitis, rosacea, and other factors cause the Meibomian gland contents to thicken and clog, much like a pipe backing up. The result: tears lose their protective oil layer, evaporate quickly, and the eye becomes irritated, burns, and tires easily.

Thermal therapy reverses that process at the root, instead of just masking the symptom with drops.

Who Is a Candidate?

  • Confirmed Meibomian gland dysfunction, verified by meibography
  • Evaporative dry eye
  • Blepharitis affecting the glands
  • As the foundation of a combined treatment plan

What the Treatment Involves

  1. Controlled heat application to the eyelids to soften the gland contents.
  2. Gland expression to empty and unclog them.
  3. At-home maintenance guidance (eyelid hygiene, warm compresses).

It’s painless, requires no anesthesia, and takes 20-30 minutes. It follows a stepped protocol of one to three or more sessions depending on severity.

Why Choose Centro Láser for Thermal Therapy

At Centro Láser, thermal therapy is performed within the Dry Eye Spa, guided by imaging-based diagnosis of the Meibomian glands (meibography) that confirms the degree of blockage and tracks your response. We combine it with intense pulsed light and eyelid hygiene in a personalized plan to get your glands working again.

What you should know
about Meibomian Gland Thermal Therapy and Expression

It's a treatment that applies controlled heat to the eyelids to soften the thick, clogged contents of the Meibomian glands, followed by expression of the glands to empty and unclog them. Once the blockage clears, the glands go back to producing the oil layer that keeps tears from evaporating too fast. It's a cornerstone of evaporative dry eye treatment.

Over time, prolonged screen use, blepharitis, rosacea, and other factors cause the gland contents to thicken and clog, much like a pipe backing up. Tears lose their oil layer, evaporate too fast, and the eye becomes irritated. Thermal therapy reverses that process by softening and releasing the trapped material.

No. The heat is controlled and comfortable, and gland expression causes at most mild pressure that's well tolerated. It requires no anesthesia and is done on an outpatient basis. You can go back to your normal activities right away. Many patients describe the feeling as similar to a relaxing warm compress.

We follow a stepped protocol based on severity, from a single session in mild cases to three or more in moderate to severe cases, with maintenance sessions afterward. Severity is measured objectively during diagnosis. Since dry eye is a chronic condition, an ongoing maintenance schedule is usually needed to keep the glands working well.

Often, yes. Intense pulsed light (IPL) reduces inflammation while thermal therapy clears the glands, so together they address the problem more completely. The Dry Eye Spa designs the combined plan based on your diagnosis, along with eyelid hygiene and the right lubricants.

Our specialists
in Meibomian Gland Thermal Therapy and Expression

Are you a candidate for Meibomian Gland Thermal Therapy and Expression?

Book your evaluation with our specialists.