What Are In-Clinic MGD Treatments — and Do You Need One?

While at-home therapies, such as warm compresses, eyelid hygiene, and innovative tools like the OcuBella 4-in-1 Eye Wand, are ideal for daily management of Meibomian Gland Dysfunction (MGD), there are cases where professional, in-clinic treatment becomes necessary.

If you're experiencing persistent dry eye symptoms, limited relief from home care, or visible gland blockages, consider consulting a specialist. In that case, you may benefit from a more targeted clinical approach that can bring you the relief and comfort you've been longing for.

1. LipiFlow Thermal Pulsation

What is it? LipiFlow is an FDA-approved device that combines heat and gentle pressure to unblock the meibomian glands.

How it works:

• A small applicator is placed on your eye.

• It applies controlled warmth to the inner eyelid.

• Simultaneously, it massages the eyelids externally.

• This process liquefies and clears stagnant oil from the glands.

Treatment time: ~12 minutes per eye

Who it's for:

• Moderate to severe MGD sufferers

• Those who haven't found relief with warm compresses alone

How it complements OcuBella: LipiFlow can provide a "reset" of the glands, while OcuBella is ideal for ongoing maintenance. Learn how OcuBella supports daily MGD care.

2. Intense Pulsed Light Therapy (IPL)

What is it? Initially used for skin conditions such as rosacea, IPL has proven effective in treating the inflammation associated with MGD.

How it works:

• Short pulses of light target abnormal blood vessels and inflammation near the eyelids.

• Reduces inflammatory mediators that may be damaging the glands.

• It may also help with Demodex mite control.

Treatment time: 10–15 minutes per session, often done in a series of 3–4

Who it's for:

• MGD with associated eyelid inflammation

• Patients with skin rosacea or ocular surface inflammation

Complementary approach: Use OcuBella between sessions to maintain lid hygiene and support gland function with gentle heat and LED therapy.

3. Manual Gland Expression

What is it? Performed by an optometrist or ophthalmologist, this involves manually expressing the meibomian glands using a small paddle or tool.

How it works:

• A local anaesthetic may be used

• The practitioner gently compresses the eyelid margin to release trapped oils

• Often combined with heat therapy for maximum effect

Treatment time: 10–20 minutes in clinic

Who it's for:

• People with severely blocked glands

• Situations where imaging shows poor gland function

In combination with home care, Patients are typically advised to use devices like OcuBella daily following treatment to prolong results and reduce recurrence. This combination approach can provide more comprehensive care and better long-term management of MGD.

4. Other In-Clinic Options

• BlephEx: A micro-exfoliation tool to remove biofilm and debris along the lid margin

• MiBo Thermoflo: Uses continuous heat and massage externally

• Zocular Eyelid System Treatment (ZEST): A deep-cleaning foam treatment to reduce bacteria and Demodex mites

These may be used individually or combined depending on your symptoms and diagnosis.

When Should You See a Specialist?

Seek professional treatment if:

• You've tried compresses and eyelid wipes for over 4–6 weeks with no relief

• You experience constant burning, blurry vision, or excessive tearing

• You struggle with contact lens wear or recurrent styes

Your optometrist can recommend the most appropriate in-clinic solution — often in conjunction with an at-home routine, such as OcuBella, providing you with the support and guidance you need.

Take Control of Your Eye Health

Managing MGD is about consistency and the right combination of treatments. Professional care provides a robust foundation — and tools like OcuBella give you the power to maintain results long-term, empowering you to take control of your eye health.

Want a step-by-step home guide too? Download our free 5-day dry eye wellness plan here.