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Following pain and disability testing in the follow up periods post surgery, the researchers concluded that

The clinical diagnosis of obstructive Meibomian gland dysfunction (OMGD) should be considered when the standard, traditional, first line treatment modalities for Meibomian gland dysfunction have failed to provide sufficient relief of symptoms, the patients condition progressively worsens with continued loss of Meibomian glands as seen on meibography, or the patient continues to have recurrent infections of his/her eyelids (styes, hordeola, chalazia, cellulitis, etc.)

If the TFA remains it can pose a range of health risks, from local irritations and allergic reactions to cellular toxicity and impaired therapeutic efficacy