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The participants had been instructed to sign the shape daily in the morning and evening (2 times/day) and return the shape to the investigator at the follow-up visit. Meibomian glands are a particular type of sebaceous gland situated in the tarsal plate of the upper and lower eyelids. Lipids are produced by the meibomian glands, that are the principle components of the superficial lipid layer of the tear film that protects against evaporation of the aqueous section and stabilizes the tear movie. Hence, meibomian lipids are essential for the upkeep of ocular floor health and integrity. Meibomian gland dysfunction is a particularly essential condition and is one of the commonest causes of dry eye.[2–4] Previous research reported that the prevalence of MGD amongst Caucasians diversified from three.5% to 19.9%. In the Asian population, the prevalence of MGD was larger and diversified between forty six.2% and 69.3%.[7–10] A Bangkok population-based study reported that 46.2% of Thais had MGD and 63.6% of people with dry eye had MGD.