Off the cuff: only half the story

In this opinion piece for Optometric Physician, Dr. Cory J. Lappin, OD, MS, FAAO, offers a direct and memorable challenge to clinicians who image only the lower meibomian glands. He compares the practice to evaluating only one eye during a comprehensive exam — an approach that, from both a clinical and logical standpoint, has never made much sense.

Dr. Lappin acknowledges that some clinicians argue the lower glands are more important to dry eye outcomes, but he points to emerging research that challenges this assumption. His perspective adds a practical, clinician-to-clinician voice to the growing consensus that both upper and lower lid imaging should be standard.

The article’s straightforward tone and relatable analogy make it an effective piece for communicating the importance of comprehensive meibography to a broad clinical audience.