Rosacea and Lid hygiene???

[T.Sykes]

I have MGD but have been hesitant to do the "q-tip" technique because of my rosacea. I don't know if anyone is familiar with Dr. Nase but he stresses the importance of not using heat with rosacea. Is there a way to successfully express the meibomian gland without heat. Will cold water on a q-tip work? Or I was thinking doing it right after getting out of the shower. Any ideas?

Thank You!
Trey

[NYer]

You don't have to use hot compresses...warm is OK. And don't do it for too long. The idea of the heat is to soften up and open the glands before you try to express the oil from them. It's like holding a warm or hot compress on a pimple before you squeeze it. The stuff comes out much more easily if it's heated first.
You don't have to do a compress...you can just do it after a shower. And you don't want to do multiple hot compresses per day when you have rosacea. Just once a day.