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Where can I get a Meibography Done?

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  • Where can I get a Meibography Done?

    I have Searched 100's of ophthalmologists to figure out just where can I have a meibography done?

    It seems like in the US they only use this test in testing the affects of new trial drugs on the meibomian glands in clinical trials.

    But I'm not looking to participate in a clinical trial.
    I am looking just to get that test done by itself, so I can determine the Health of my Meibomian glands.

    I know the method currently out there that is done by the ophthalmologists in the office isn't very definitive....all they do is just pressing on the glands with their fingers and see if they sqirt out any oil....Honestly by no means is this very effective.

    I want to know if my glands have atrophied just pressing on them wont tell the doctor that.

    Any one know any ophthamologist in the United States that can just sign me up for having a meibography done?

    Any information would be greatly appreciated!

    sincerely goeyes

  • #2
    Diy

    Hey I've got good news for you, it is easy to perform meibography on yourself and it will be probably be better doing it yourself because you can take your time to examine each gland (however it is a but harder doing the upper eyelid yourself) An opth. that did it on me just took a quick look and said 'ahhhh yea they look ok' without more than a 2 second glance. So i had a go and found its easy to see whats going on once you've done a little reading on what to look for.

    So meibography is just transillumination of the eyelid to examine MG morphology. Just hook up a red (i use 630nm) superbright LED to a battery and illuminate through the eyelid (i use a 9V without a resistor even though LEDs are designed for 3.6V and only 20mA so it will be bad for the LED but they are only worth 10c so who cares + it makes it brighter). Alternatively (though this is more awkward to do) you can use an Infra red LED, turn the lights down low and use a digital camera to takes photos (the IR is visible to the camera but not the human eye) - this method seems to work better for taking images of the glands.

    Here are some links to read so you know how to interpret what you see:

    http://www.clspectrum.com/article.aspx?article=12867

    http://www.tearfilm.org/dewsreport_F...20version).pdf

    http://webeye.ophth.uiowa.edu/dept/s...ea/vidmei1.htm

    http://www.clspectrum.com/article.aspx?article=104450

    lots more out there, just google away. When they talk about a transilluminator this is just a source of red/IR light, namely an LED.

    hope this helps

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