on April 22, 2026
Upper eyelid meibography remains underused in everyday dry eye practice, yet emerging evidence shows it often reveals earlier, more severe, and more predictive changes than the lower lid alone.¹⁻⁴
In this short video, Dr. Paul Karpecki—an internationally recognized expert in dry eye disease assessment and management— walks through the key data behind bilateral meibography, spanning contact lens dropout, cataract surgery-related dry eye, Sjögren’s syndrome, and thyroid eye disease, and challenges us to rethink whether lower lid imaging is really enough.¹⁻⁵
Watch to gain practical insights from Dr. Karpecki on how upper lid findings can influence real-world treatment decisions, improve risk stratification, and strengthen patient education in clinic.¹,²,⁴
1. Gupta PK, Karpecki PM, Chatterjee S, et al. Comprehensive assessment of the meibomian glands by meibography: why the upper eyelids matter. *Cornea*. 2025;44:128-135.
2. Why upper eyelid meibography is essential in the modern dry eye workup. *Eyes On Eyecare*. Published February 10, 2026. Accessed April 17, 2026. https://eyesoneyecare.com/resources/why-upper-eyelid-meibography-is-essential-in-the-modern-dry-eye-workup/
3. Things are looking up. *Review of Optometry*. Published May 14, 2025. Accessed April 17, 2026. https://www.reviewofoptometry.com/article/things-are-looking-up
4. Upper eyelid meibography underused but clinically valuable. *Optometric Management*. Published July 8, 2025. Accessed April 17, 2026. https://www.optometricmanagement.com/news/2025/upper-eyelid-meibography-underused-but-clinically-valuable/
5. Comprehensive assessment of the meibomian glands by meibography: why the upper eyelids matter. *Meivertor Research Validation Blog*. Published January 21, 2026. Accessed April 17, 2026. https://meivertor.com/blogs/research-validation/comprehensive-assessment-of-the-meibomian-glands-by-meibography-why-the-upper-eyelids-matter
