Meiboscopy / Meibography : Smokers Lid Margin CHANGES
Channel: Meiboscopy
Date: 2012-02-13

Liszt had about 30 - 40 pack years and shows lid margin notches on the nazal side of the eyelid margin = this is typical in chronic smokers. The left eye has a random lid margin notch just temporal of centre - this is from an old infection. 

Smoking increases immune cell populations to enter the tear film - which possibly crosses the palpebral margin to cause inflamations of the acini. Possibly, the acini are also damaged by the reactive oxygen species in the blood. Smokers have meibomian gland damage early on and you can see shortened meibomian glands with your meiboscope quite easily in young people who smoke habitually.