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We found that during some of the time points following treatment, their MGD was better; the lids looked clearer, there was less erythema, fewer blood vessels, thinner secretions, and most important, reduced symptoms." However, the existing technology was inconsistent, and the bulb's intensity would diminish over time. Toyos worked with one of the companies, Dermamed, to solvethese problems."Now, we have an instrument that's safe, with reproducible results," he says. Toyos emphasizes that doctors should not attempt this using just any IPL equipment.) Dr."Postopera-tively, we have the patient use Durezol for three days, and Xibrom once a day until they see us again, for inflammation.
"So, we began investigating this using different IPL instruments, none of which were designed to treat meibomian gland dysfunction," he says. Then in 2003 we received an ASCRS grant to pursue this, and we conducted a small study in which patients with MGD were treated with IPL on one side and nothing on the other side.In our hands, it appears to be an excellent treatment for the patient that wants an alternative to the typical medication regimens we've used for years." of Ophthalmology and Ameri-can Society of Cataract and Refractive Surgery meetings every year. "However, there's no click fee, and you get 5,000 shots out of one bulb; then it's about 0 to replace the bulb.Furthermore, if you purchase the technology, which I have no financial interest in, I'll come to your practice to get you started, or you can come to our clinic. It's a solid-state light—not a laser—so it doesn't need maintenance."After the gland is normalized we do maintenance treatments every six months to a year," he says."Younger patients need fewer treatments." , is one of several surgeons around the country who has recently begun using the IPL treatment. "The treated patients have improved both subjectively and objectively.