Meibograph of Healthy Gland
Channel: Meiboscopy
Date: 2012-02-08

Healthy meibomian glands are regular, evenly placed, have orifices flat with the lid margins and have overlying palpebral conjuntiva that is smooth and not ridged or channeled by the underlying gland.

The meibomian glands respond to their local environment of the eyelid and margin (it is sensitive to toxins, inflamatory cells, oxygen radicals and also irritants) and have a secret life of exacerbations and quietness. Drop-outs and inflammations don't happen over night. 

If you study the meibomian glands with the meiboscope - you will find out quickly why the patient has symptoms and this will help you find the treatments.