A macular hole (MH) is a retinal break commonly involving the fovea. Idiopathic macular hole is the most common presentation. Risk factors include age, female gender, myopia, trauma, or ocular inflammation.
MGD leads to alterations in tear film, eye irritation, ocular surface disease including dry eye and clinically apparent inflammation.
Topical lubricants are advocated to relieve symptoms, reduce tear film evaporation and stabilize lipids in tear film. However, lid hygiene and warm compress or heat applications are the mainstay of the clinical management. Gentle massage, application of heat to eyelids with warm compress such as hot wet towel or with heat masks