on September 19, 2026
Getting a clear view of the upper lid is one thing. Using that view to inform clinical decisions is where it becomes valuable.
Adequate exposure of the full tarsal plate gives clinicians the opportunity to identify subtle changes in gland structure, including tortuosity, partial dropout, altered thickness and other morphological changes associated with MGD and dry eye severity. Routine imaging of both lids can provide a more complete picture of meibomian gland health and reveal changes that might otherwise go unnoticed.
Beyond the Traditional Dry Eye Patient
Upper lid findings may also provide useful information when evaluating contact lens patients and those preparing for ocular surgery. Identifying meibomian gland changes earlier gives clinicians an opportunity to address ocular surface concerns sooner and have more informed conversations with patients about expectations.
Meibomian gland changes have also been reported in association with systemic conditions, including Sjögren syndrome. Meibography is not a substitute for systemic disease evaluation or diagnosis, but these findings reinforce the clinical value of examining an area that may be overlooked when imaging is limited to the lower lid.
Clinicians are adding Meivertor™ because it performs consistently across exam types.
Making It Work in Practice
For comprehensive lid imaging to become routine, the process also has to work for patients and staff.
Meivertor™ uses a controlled eversion technique with soft, single-use tips designed to gently secure the lashes and facilitate lid rotation. The disposable tips provide a straightforward approach to hygiene and infection control between patients.
A predictable, repeatable method of eversion can also make it easier to train technicians to capture upper and lower lid images consistently. Once imaging becomes part of the technician workflow, the doctor can focus on interpreting the images, educating the patient and making treatment decisions.
For practices building a more comprehensive ocular surface or dry eye service, the goal is simple: make it easier to look at both lids, get consistent images and use that information to guide patient care.
When a more complete lid assessment becomes easier to perform, there’s less reason for the upper lid to remain optional.
