Dr. Fishman demonstrates a particularly dramatic example of oil expression from the full length of an individual meibomian gland followed by manual expression of it’s neighbor. The eyelids were first heated using MiboFlow to “prep” the glands and then manual expression as shown below. Dr. Fishman uses a variety of approaches to treat dry eye and meibomian gland disease. MiboFlow paired with manual expression is one of his patient’s favorite treatments as it minimally invasive and comfortable.