https://mgdi.com/home daily 1.0 2025-04-04 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551378181361-YMPNBKE25EM0V8D7G9Y9/Home+Banner+Background%2C+2500px+JPG+copy.jpg Maskin Meibomian Gland Probing: Home https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550531237179-TAMQB8QUHL3EEQ9GC5YL/75+probing+symptom+reduction%2C+Yellow.png Maskin Meibomian Gland Probing: Home Meibomian Gland Probing has shown >75% reduction in dry eye symptoms when performed using the Maskin Probing Protocol for MGD. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550531289226-HAHU2I97G7NY8THQVXWF/92+symptom%2C+1+week%2C+Yellow.png Maskin Meibomian Gland Probing: Home 92% of patients probed using Maskin Probing Protocol for Meibomian Gland Dysfunction reported symptomatic improvement on their dry eye after 1 week. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550531382271-9OL1JX5N07BPPG5S2IMI/Fixed+resistance+found%2C+Yellow.png Maskin Meibomian Gland Probing: Home Fixed, firm, focal, unyielding, resistance (FFFUR) found in 74% of upper lid and 55% of lower lid Meibomian Glands when probed using the Maskin MG Probing Protocol. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555095496483-K663282DKOWQ3RHM8B4E/Eye+%2B+MGs+copy.png Maskin Meibomian Gland Probing: Home Meibomian glands express meibum at the orifice of the eyelid, called the lid margin. There are 20-30 Meibomian glands in each of the upper and lower lids, and gland extend along the length of the lid with acini (oil-producing ductules) contributing meibum that flows along the tract and onto the eye surface with blinking. Sufficient meibum is required for adequate continual lubrication of eyes, coating the aqueous tear film to prevent rapid evaporation. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/262adfd0-358d-4345-b79b-9b5ced8bacaa/It%27s+all+about+the+Pop+Banner.png Maskin Meibomian Gland Probing: Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551198878504-SKYZHSYMMJ7UD3CCW19B/Dry+Eye+in+US.png Maskin Meibomian Gland Probing: Home More than 30 million in the US currently suffer from dry eye. Meibomian Gland Dysfunction (MGD) is a significant factor in 86% of all dry eye cases, and must be seriously assessed as a key portion of dry eye treatment. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551198897273-12OGBTP18XGA2XHTURKH/%23+Probed.png Maskin Meibomian Gland Probing: Home Over 20,000 patients successfully probed as an important element of his/her dry eye treatment plan. Meibomian Gland Dysfunction (MGD) negatively impacts meibum, or oil, secretion that is essential to sufficient eye moisture and comfort. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551198921509-OBJ63Z4TJG3OZCLD18FR/Simple+Procedure.png Maskin Meibomian Gland Probing: Home MGP is a simple procedure to expertly implement in your practice. The Maskin Protocol for Meibomian Gland Probing is a safe and effective way to clear glands of constricting bands of scar tissue and equilibrate pressure within gland ducts. https://mgdi.com/mg-probing-overview-physicians daily 0.75 2022-11-09 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1590084070702-KH6ZRMDS85HP6HRQ3V5S/MGDi+Research%2C+MGP+on+VAS%2C+Both+LT%2BXLT.png For Physicians Graph Title: Results of Meibomian Gland Probing on VAS for Symptoms of MGD, Excluding Lid Tenderness. This graph track percent improvement, using the average of differences between a patient’s initial evaluation of their dry eye symptoms and where they stand after Meibomian Gland Probing (MGP) has been competed according to the Maskin Probing Protocol as part of a comprehensive dry eye treatment strategy. The study included 12 lids and uses the VAS, Visual Analog Scale, a standardized scale of 1-100 used by patients to evaluate the severity of his/her symptoms. Symptoms include: burning, stinging, photophobia (sensitivity to light), increased blinking, frequent eye closure. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555092963796-ZRJMZVDVXMIM2L7T3SR7/image-asset.png For Physicians https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555092947208-85FXP453U0N12DCYBL07/image-asset.png For Physicians https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555092925049-6TT8K4CSPMBFVP653LJ4/CDO.png For Physicians https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1590083692125-B57RLGY4MKF0GA2244N4/MGDi+Research%2C+MGP+for+LT.png For Physicians Graph Title: MGP for the Relief of Lid Tenderness (CDO, CPO) as a Function of MG Atrophy using IR Meibography. This graph tracks the percent of non-tender lids over time after Meibomian Gland Probing using the Maskin protocol has been completed. Resolution of lid tenderness was found in 86% of 144 lids at one week, 82% of 215 lids at 3-6 months, and 58% of 113 lids at one year. At each time point, lids with less than 50% atrophy tended the have increased percent functional lids when compared to lids with greater than 50% atrophy, but this was not statistically significant, suggesting all lids can benefit from probing regardless of level of atrophy. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549396675287-EP3ES4TJQGQQ769K0LFA/image-asset.png For Physicians Meibography: Meibography shows the doctor and patient the Meibomian Glands within the lid. Each gland can be identified, and irregularities to the path can be seen. While the level of function of the gland cannot yet be assessed visually, such elements as length of the gland and tortuosity can indicate the overall health of the gland and is useful in assessment of dry eye and MGD. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549396765126-1Z3HKBP7HR9G9PS3UPIA/027+RU+03.03.15+%26+02.09.16+trace.png For Physicians Infrared Meibography with Outlined Meibomian Glands: In this image, individual Meibomian Glands have been outlined for clarity. One can see clearly element like length and tortuosity. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550002832409-3ZYRCSKAVHW2PPXMTM72/Step+1.png For Physicians Maskin Meibomian Gland Probing Protocol, Step 1: Anesthetize eye and lid. Place bandage contact lens. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550002981880-AAISNN721Y7R7MFLBJ4R/Step+2.png For Physicians Maskin Meibomian Gland Probing Protocol, Step 2: Probe Meibomian Glands in lid using 1mm probe. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550003013631-6L0VKOS5ZMDLBVA4Q0G1/Step+3.png For Physicians Maskin Meibomian Gland Probing Protocol, Step 3: Continue probing with 2mm and 4mm probes, if necessary, to relieve deeper periductal fibroses (scarring) around glands and related obstruction. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550003034335-HRKTRO7R9MEF8DDZ1V5G/Step+4.png For Physicians Maskin Meibomian Gland Probing Protocol, Step 4: Remove lens, irrigate eye, and wipe lid margin clean. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549396435973-Z5J1BOL0UM2JYJSAS815/image-asset.jpeg For Physicians Photo of Upper Lid Probing: One can see the probe entering the duct orifice. Probes proceed along the duct similar to an arm going into a shirt sleeve, allowing the equilibration of pressure within glands by freeing glands from tight bands of scar tissue surrounding the ducts. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550003053093-B15G40GWL8QI7KDWCU55/Step+5.png For Physicians Maskin Meibomian Gland Probing Protocol, Step 5: Observe newly freed Meibomian Glands! Continue through each lid to completely probe all glands and confirm with positive physical proof ability for gland duct to allow free flow of meibum. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549396406228-708FWXDADCYXB9JO6UGH/SG+sent+to+OT.jpg For Physicians Photo of Lower Lid Probing: Image shows a Maskin probe entering a Meibomian Gland duct at the orifice on the lid margin. Clearing away constricting scar bands deeper in the lid is key to allowing the flow of meibum and resolution of dry eye. https://mgdi.com/for-patients daily 0.75 2025-04-01 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555097475075-B3SW93P0HLL482L1TSOJ/Anatomy+of+the+Tear+Film+copy.jpg For Patients SL Maskin, Reversing Dry Eye Syndrome: Practical ways to improve you comfort, vision, and appearance. Yale University Press, May 2007 A healthy tear film includes 3 key elements: 1) the aqueous (watery) layer; 2) the lipid (oily) layer, produced by Meibomian Glands; and 3) mucin from goblet and surface epithelial cells to form a gel. These 3 systems work together to create a properly hydrated and comfortable eye, and each are required for the overall system to properly function. You physician will evaluate all 3 as part of a comprehensive dry eye diagnosis and treatment strategy. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549921530333-5BO0XI6TGRR25Q2V1RLW/Burning+and+Stinging%2C+Yellow.png For Patients MGD Symptom 1: Burning and Stinging https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549390468517-R1OODNHNQCHSKZ06GDDM/Photophobia%2C+Sensitivity+to+Light%2C+Yellow.png For Patients MGD Symptom 2: Photophobia or Sensitivity to Light https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549390478614-G8VJN5KZ6JQUH5RTRL64/Asset+1.png For Patients MGD Symptom 3: Redness and Vascularization https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549921543635-WA64PZS7T4VEU52M4RSX/Foreign+Body+Sensation%2C+Yellow.png For Patients MGD Symptom 4: Foreign Body Sensation https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555097769560-9MNX1QV9TYB1WKL8W6O0/MG+%2B+Eye+Image+copy+JPEG.jpg For Patients The eye is protected and hydrated by the eye lids, which house the Meibomian Glands. Meibomian Glands are a key component of eye health and produce needed oil (meibum). This meibum sits on top of the aqueous tears, preventing rapid evaporation. In this image, you can see the length of a typical Meibomian Gland, which extend along the lids and produce oil throughout the gland. The acinar ductules extending off the primary central gland produce oil, which flows into the inner duct and out onto the eye surface through blinking. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555097870307-5RF5PGF1HUD7IIIA16R2/Probing+Image+copy+JPEG.jpg For Patients In the Maskin Probing Protocol, an eye doctor uses a small probe to enter the Meibomian Gland duct. By entering the duct with the shortest and stiffest probe first, your doctor can penetrate strictures on the surface of the duct and within the first millimeter of the gland. These strictures are created by periductal fibroses, or scar tissue, around the gland, which squeeze the duct and alter the needed channel through which oil flows. Without the proper flow of oil to the eye, the gland becomes progressively blocked, and the patient can feel increasing inflammation, tenderness in the lid, and additional symptoms associated with MGD and dry eye. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555098008162-DBAHVGWKWCG3UFNM78JF/Step+1+copy.jpg For Patients Maskin Meibomian Gland Probing Step 1: Apply anesthetic ointment and bandage contact lens for increased patient comfort. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555098167448-SEUOLDPZBD769V8L8QKK/Step+2+copy.jpg For Patients Maskin Meibomian Gland Probing Step 2: Using the 1mm probe, the shortest and stiffest, probe all Meibomian Glands in chosen lid to relieve obstruction and scarring. Each lid may be probed and patient and doctor should work together to determine an appropriate probing schedule. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555098217451-OU7IISPLDVDK2LXM904V/Step+3+copy.jpg For Patients Maskin Meibomian Gland Probing Step 3: If lid shows deeper obstruction, doctor will continue with longer probes of 2mm and 4mm to open and dilate glands. Relieved scar tissue may make one or several popping noises as pressure is equilibrated and meibum flow reenabled. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1555098266947-9ZPRW4JO7KKXDYOOVN3Y/Step+4+copy.jpg For Patients Maskin Meibomian Gland Probing Step 4: Doctor will remove protective contact, wipe away numbing agent and irrigate eye, then express each probed lid. Finally feel the relief of reestablished Meibomian Glands as an essential piece of you dry eye treatment plan! https://mgdi.com/get-probing-now daily 0.75 2026-02-02 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551378217078-6G3UN76OMTC014ZMRU5C/Home+Banner+Background%2C+2500px+JPG+copy.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406262642-7G1OR098AT7B3T0DZGBI/1mm+Probe.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/433a753d-5b16-49a0-81d3-c35b7420d2cb/1mm.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406396265-DDPA7CB67QSP7IY11AX7/2mm+Probe.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/9a8362d0-3ebf-4fbf-91db-2a8af76eb352/2mm.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406424490-J0ZQSBC5RIYFPG8BPV2X/4mm+Probe.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406438256-CLXVJ5CK5JAR0BDJ1TUF/4mm+Probe+Tip.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1557450317315-GF9FGN5R4U0FJDSWCRLC/1mm+Tube+Tip.jpg Get Probing Now! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1557450318152-WKMGN5H7UXN3Y79EV8R2/1mm+Tube.jpg Get Probing Now! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406785188-N23FIM5TLKQ7ANMZ63RC/2mm+Dilator.jpg Get Probing Now! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549651919453-A7PX00XXGDGWWOK34NV2/2mm%2BDilator%2BTip.jpg Get Probing Now! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406895666-ZLWQUCR4FCW4FCEEUI6P/Meibum+Expressor.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1549406911037-6T5W2UJAWPNRJ10QR84J/Meibum+Expressor+Tip.jpg Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/31be8870-f326-4135-bd77-099653c8cb21/Specs+for+Probing+Devices+Update%2C+02.2026.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551989598741-T6R5K33IS47YNBU07QYR/MGDi+Meibum+Classification+Form+Image.png Get Probing Now! The Meibum Classification Form is a useful guide for the intake process for dry eye patients. It specifies evaluators for Meibomian Glands in each lid, and is a great tool for ophthalmologists and optometrists to implement in their dry eye practices. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554919678543-T2PBYJC1VCX4EZLRSRNM/Screen+Shot+2019-04-10+at+2.04.11+PM.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552323766936-VSI09SHAVLF151HHC950/Detailed+Guide+to+MGP+for+Physicians+Image.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552319200817-F471K9TVZKUH74HVEM5J/MGP+Procedure+Documentation+Guide+Image.png Get Probing Now! https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/9c92c408-4a3c-4c5b-a3c3-f690aecb61eb/Tube+Injection+Guidance.png Get Probing Now! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://mgdi.com/contact daily 0.75 2026-01-21 https://mgdi.com/mission daily 0.75 2019-02-14 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551378723797-QCLLLTPG80EH064LOBTG/2018-02-26+17.22.57+HDR-min.jpg Mission + Vision https://mgdi.com/founding-story daily 0.75 2022-11-09 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551379050826-A4HMXNW748ZJ5S0L1KBE/2018-02-26+14.44.06-min.jpg Our Story https://mgdi.com/patient-testimonials daily 0.75 2019-04-09 https://mgdi.com/team daily 0.75 2020-06-05 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550003849329-82MOXW4NNXIVAKNO8CWK/Successful+Probing+Record+Graphic.png Team Successful Probing Track Record: Dr. Maskin has successfully and safely performed the Maskin Meibomian Gland Probing Procedure on over 1,000 patients, 4,000 lids, and 100,000 glands in the more than 15 years since he first targeted Meibomian Glands as an important piece of the dry eye puzzle. Through his work, understanding of the underlying problems of MGD and associated diseases have advanced dramatically. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1591389031170-J2T3JSHJXXOKM33PZ4RJ/WEB+RES+Dr+Steven+Maskin+by+Rob-Harris+1.jpg Team Image of Dr. Maskin, the inventor of Meibomian Gland Probing, a key element to any dry eye treatment course and effective method of treatment of Meibomian Gland Dysfunction (MGD https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554234125294-KC81BGH2ZKSN9IZBGB9U/Katey+Face.jpg Team https://mgdi.com/research daily 0.75 2026-01-22 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551378901666-23O2FSHF33BIQT9VF2OQ/2017-07-22+20.12.36-min.jpg Research https://mgdi.com/press-media daily 0.75 2022-11-09 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551910725684-6ZKGDY1VEAOAVTQKPCIW/EyeWorld%2C+Cornea+Cover%2C+Oct+2017.png Press + Media EyeWorld feature highlighting Meibomian Gland Dysfunction and the role Meibomian Gland Probing can play in relieving symptoms of MGD and dry eye. The first part of the feature discusses a review of the literature and research on Meibomian Glands and the potential for MG growth after successful probing using the Maskin Probing protocol. The second part of the feature is an interview with Dr. Maskin about probing and successful treatment of MGD and dry eye. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552063355556-UIZJ3PRSF4G1NHYFI9UF/Research+on+MG+Growth+After+Probing.png Press + Media https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552063337218-IE1V2C0OMQ23ZWLEKAC3/MG+Probing+-+The+Who%2C+What%2C+When%2C+and+Why.png Press + Media https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551909639033-R5OZIZKHLEEJ7M9Z7Z3S/OM+Special+Report.jpg Press + Media Opthamology Management, Special Report: What You Need to Know to Survive the Onslaught of Dry Eye Sufferers. Features an article by Dr. Maskin about how to accurately identify and diagnose dry eye and Meibomian Gland Dysfunction patients along with treatment pathways suggestions. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551909927786-JAGL3OTWGAKTU94SXHM6/OM+Special+Report%2C+Dec+2009.jpg Press + Media Feature in special report from Ophthalmology Management, Dec. 2009. Highlights article from Dr. Maskin, MD, “When Meds Are Not Enough: Surgical considerations for chronic dry eye” which gives guidance on dry eye and MGD diagnosis and treatment options, particularly focused on the individualized needs of each dry eye patient. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551912293898-QACHYEYPH8TQ7723O2B7/Reversing+Dry+Eye+Syndrome+Cover.jpg Press + Media https://mgdi.com/detailed-mg-probing-protocol daily 0.75 2022-11-09 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554238967538-O3WCR4SBDLLG9DKUTL52/CPO.png Detailed MG Probing Protocol Complete proximal obstruction is a blockage deeper within the Meibomian gland, leaving the unblocked portion of the gland functioning and able to release meibum. The build-up of inexpressible meibum leads to elevated pressure behind the blockage, causing tenderness in the lid and spurring deterioration of acini and reduced oil production. The gland will still express needed meibum, but at an overall reduced rate. This can help explain why some glands may produce oil yet still be unhealthy and cause lid pain. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554239019462-QE5P1FGD4M56ZISD88GL/CDO.png Detailed MG Probing Protocol Complete distal obstruction in a Meibomian gland means there is a stricture or blockage near the opening of the gland. This stricture, created by contracting scar tissue around the gland, prevents the flow of meibum and elevates pressure within the duct, resulting in lid tenderness. Without the ability to release oil, the acini units that generate meibum begin to deteriorate and decrease production, eventually leading to atrophy and contributing to dry eye. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554244330332-86ERV8OYDGREHTB9UHPC/Screen+Shot+2019-04-02+at+6.31.57+PM.png Detailed MG Probing Protocol If a Meibomian gland remains blocked distally, atrophy will progress and break down the remaining acini, disappearing or fading on Meibography images. With the cessation of meibum production, pressure within the gland lowers and lid tenderness typically resolves. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554239733418-4X9QD4K4MCGS9L95AMOQ/032+RU+05.01.14+%26+06.30.16.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554240688567-3ZY6TP2XRB9892T8UR2E/image-asset.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554240834508-TN2V4S1IJEC7XFHQNNXG/image-asset.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554240852116-X5BSHB50WRP92ZXB8PIA/Ointment+%2B+Cotton+Swab.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554240974279-0KLNEWQOYBFSB6D5YO9R/Pop.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554240818511-56QDPANTKWCLOJ7JC7FL/Eye+with+Lashes.png Detailed MG Probing Protocol https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554243200192-V49JVN008SMQHW903VB7/Eye+Drops.png Detailed MG Probing Protocol https://mgdi.com/mgp-clinical-evidence daily 0.75 2022-11-09 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551195013659-7LOJMIVJW8EPRYAH5MPT/Non+Functional+Lids.png MGP Clinical Evidence Graph Title: Effects of MGP on the Total Number of Expressible Glands in Non-Functional Lids (starting with <= 4 glands/lid). This graph shows the increase in the number of expressible (functioning) Meibomian Glands in each lid after Meibomian Gland Probing (MGP) has been completed according to the Maskin MGP Probing Protocol. Results show a 413% increase in the number of expressible glands per lid. 2.8 pre-probing average number of expressible gland increased to 14.4 at mean follow up of 2.5 months (p<0.001) for 25 lids. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550607297163-BYVBM2WLGDJOEMXOTDHL/86+lid+restoration%2C+1+week%2C+Yellow.png MGP Clinical Evidence 86% restoration of meibum secreting functionality seen within 1 week https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550588101857-71M4ULOA2KU2CE22F9Z5/92+symptom%2C+1+week%2C+Yellow.png MGP Clinical Evidence 92% of patients probed reported symptomatic improvement after 1 week https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1550588185745-PP65T9U8OINPOYUXME1D/TBUT+change+2+month%2C+Yellow.png MGP Clinical Evidence Tear Breakup Time (TBUT) for patient resistant to medical treatment for >=6 months increases from 5 to 13 seconds 3 months post probing https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554247268513-35RFEDQAUG2NEG59W27G/75+probing+symptom+reduction%2C+Yellow.png MGP Clinical Evidence https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554247287838-9J1MNGNOLUYN261S0HGR/Fixed+resistance+found%2C+Yellow.png MGP Clinical Evidence https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1590083777070-QLB9Z05URKDVRO2KZJM9/MGDi+Research%2C+MGP+for+MSLF.png MGP Clinical Evidence Graph Title: MGP to Restore Meibum Secreting Lid Functionalities to Non-Functional Lids (CDO, CDO-NF) as a Function of MG Atrophy using IR Meibography. Graph shows the functionality of lids with different starting points of gland atrophy, and how they progress over time. Meibum Secreting Lid Functionality (MLSF) was restored in 94% of 64 lids at one week, 92% of 102 lids at 3-6 months, and 74% of 46 lids at one year. At each time point, lids with less than 50% atrophy tended to have increased percent functional lids when compared to lids with greater than 50% atrophy, but this was not statistically significant, suggesting all lids can benefit from probing regardless of atrophy. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1590084949582-6S7ZERVLSJ0DZ5HVKY1R/MGDi+Research%2C+Post+Probing+Comfort.png MGP Clinical Evidence https://mgdi.com/support/probing-aids-and-documentation daily 0.75 2026-03-26 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551378217078-6G3UN76OMTC014ZMRU5C/Home+Banner+Background%2C+2500px+JPG+copy.jpg Probing Aids and Documentation https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1551989598741-T6R5K33IS47YNBU07QYR/MGDi+Meibum+Classification+Form+Image.png Probing Aids and Documentation The Meibum Classification Form is a useful guide for the intake process for dry eye patients. It specifies evaluators for Meibomian Glands in each lid, and is a great tool for ophthalmologists and optometrists to implement in their dry eye practices. https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1554919678543-T2PBYJC1VCX4EZLRSRNM/Screen+Shot+2019-04-10+at+2.04.11+PM.png Probing Aids and Documentation https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552323766936-VSI09SHAVLF151HHC950/Detailed+Guide+to+MGP+for+Physicians+Image.png Probing Aids and Documentation https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1552319200817-F471K9TVZKUH74HVEM5J/MGP+Procedure+Documentation+Guide+Image.png Probing Aids and Documentation https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/bd6af196-ce77-4c6f-bd8e-920f24b9731f/Screen+Shot+2022-12-02+at+2.32.43+PM.png Probing Aids and Documentation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://mgdi.com/mgdi-seminar-june-2-2021 daily 0.75 2021-05-21 https://mgdi.com/mgdi-seminar-june-2-2021/sign-up monthly 0.5 2026-03-30 https://images.squarespace-cdn.com/content/v1/5c38d4fa3c3a536ca6a0353f/1621618458535-XDKZ1ARO7HDRIXYMMKTY/Eye+%2B+MGs.png MG Probing Immersive Educational Seminar - Meibomian Gland Probing Immersive Educational Seminar https://mgdi.com/read-me-bedford daily 0.75 2025-05-12 https://images.squarespace-cdn.com/content/v1/52a74d9ae4b0253945d2aee9/1390928870858-4D9B6T9WGP8017NSS9W3/topography.jpg Read Me