The Overlooked Predictor in Cataract Co-Management
Somewhere between one-third and half of cataract patients end up with dry eye symptoms after surgery, and a lot of them never had complaints beforehand. This BC Doctors of Optometry...
Why the Upper eyeLids Matter: Watch as Dr. Paul Karpecki Shares New Evidence to Transform Your Meibomian Gland Assessment
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...
Upper eyelid meibography: underused but clinically valuable
Upper and lower eyelids reveal different types of meibomian gland changes. This Optometric Management article explains why evaluating only one lid leaves clinicians with an incomplete picture.
TFOS DEWS III: diagnostic methodology
The TFOS DEWS III diagnostic report — a cornerstone reference for dry eye diagnosis — now explicitly states that imaging both upper and lower eyelids is important for accurate meibomian...
Everting the upper lid
Dr. Mile Brujic outlines why upper lid eversion should be considered essential to a comprehensive ocular exam — citing its role in detecting meibomian gland dysfunction, lid wiper epitheliopathy, and...
Tear film and meibomian gland parameters associated with the effectiveness of intense pulsed light therapy for meibomian gland dysfunction
Research published in Nature Scientific Reports reveals that upper eyelid meibomian gland changes are a key predictor of IPL treatment outcomes — making upper lid imaging essential for treatment planning.
Right tool for the job: these small but mighty instruments can help you better perform a number of procedures and will enhance your practice
Dr. Paul Karpecki highlights the Meivertor as an exciting clinical instrument, noting how its single-handed eversion design frees the clinician’s other hand for meibography and extended procedures.
Comprehensive assessment of the meibomian glands by meibography: why the upper eyelids matter
A peer-reviewed study in Cornea finds that upper eyelid evaluation is essential for early detection of meibomian gland dysfunction — especially in patients with dry eye disease, contact lens complications,...
Upper lids matter for patient care, practice health
Dr. Janelle Davison explains how combining efficient eversion tools with upper lid imaging can streamline workflows, improve patient care, and create new revenue opportunities for eye care practices.
Off the cuff: only half the story
Dr. Cory Lappin argues that imaging only the lower meibomian glands is the clinical equivalent of examining only one eye during a comprehensive exam — you’re only getting half the...
Upper eyelid critical to gauge health of meibomian glands
Expert clinical commentary in Primary Care Optometry News warns that relying solely on lower lid imaging risks missing early signs of meibomian gland dysfunction.
Clinical review calls for upper eyelid imaging in meibomian gland evaluations
A clinical review covered by Eyes on Eyecare finds that comprehensive meibomian gland assessment requires evaluating both upper and lower eyelids — not just one.
