Treating Meibomian Gland Dysfunction

I​nstructions for Warm Bundle Method

Materials
  • 4-5 lint-free microfiber towels OR
  • 4-5 cotton washcloths
  • Microwave

Instructions
  • Dampen towels in water; squeeze out excess water
  • Fold towels into long rectangles
  • Warp first towel into tight cylinder; continue wrapping remaining towels around first towel until you have a large bundle
  • Place towels in a container, cover with lid; microwave for 1 minute and 50 seconds as a starting point (adjust based on microwave power settings)
  • Allow towels to cool at least 1-2 minutes before using (cover with lid)
  • The goal is to heat the towels to a warm but comfortable and tolerable temperature when applied to the lids
  • Apply first outermost towel (keep remaining towels in covered dish)
  • ​Replace towel roughly every 2 minutes; peel towels from outside and work toward center towel to be used last
  • Remember that to be truly effective, the session should last a minimum of 6-8 minutes
  • Studies show that to be therapeutically effective, the warm compresses should maintain  a consistent 45 degrees C (113 degrees F); hence the 1 minute and 50 seconds of heating in the microwave and the alternating of the compresses every two minutes