
Dry eye is one of the most common eye conditions we see at Texas State Optical, and for many patients, the root of the problem starts at the eyelids. While dry eye may sound simple, it is often a chronic condition linked to inflammation, clogged oil glands, and poor tear quality. Understanding how eyelid health affects your tears can make a meaningful difference in your comfort, vision, and long-term eye health.
Blepharitis is a chronic inflammation of the eyelids that often develops when bacteria and debris accumulate along the lash line. Symptoms may include:
• Red, irritated eyelids
• Crusting or flakes around the lashes
• Burning or gritty sensations
• Watery or dry eyes
Blepharitis does not usually go away on its own. Without regular eyelid hygiene, it can persist and worsen, contributing to ongoing discomfort and dry eye symptoms.
Meibomian Gland Dysfunction (MGD) occurs when the oil glands in the eyelids become blocked or stop functioning properly. This is one of the leading causes of evaporative dry eye.
When the oil layer of the tear film is compromised:
• Tears evaporate too quickly
• The eyes become dry and irritated
• Vision may fluctuate throughout the day
Poor eyelid hygiene is a major contributor to MGD, which is why daily lid care is often a foundational step in dry eye treatment.
Consistent eyelid hygiene helps by:
• Reducing bacteria and inflammation along the eyelid margins
• Preventing gland blockage
• Improving the quality of the tear film
• Enhancing the effectiveness of in-office dry eye treatments
A simple routine may include warm compresses and gentle lid cleaning, but for many patients with moderate to severe dry eye, additional therapies are needed to fully restore gland function.
For patients with persistent symptoms related to MGD, Texas State Optical may recommend advanced in-office treatments designed to target blocked oil glands. TearCare uses controlled heat applied directly to the eyelids while allowing natural blinking. This helps soften hardened oils within the meibomian glands so they can be more effectively expressed.
MiBo Thermoflo therapy delivers therapeutic heat to the eyelids to improve oil flow and reduce inflammation. This treatment is gentle, relaxing, and can significantly improve tear stability when combined with proper lid hygiene.
Healthy eyelids are essential for healthy tears. Without proper eyelid hygiene, conditions like blepharitis and Meibomian Gland Dysfunction can silently worsen, leading to chronic dry eye and discomfort. By keeping your eyelids clean and addressing gland dysfunction early - often with the help of advanced treatments like TearCare and MiBo Thermoflo - you can protect your vision, improve comfort, and enjoy clearer, more stable vision every day.
Schedule a dry eye evaluation at Texas State Optical to learn how eyelid hygiene and modern dry eye treatments can improve your eye health. Visit our office in Fredericksburg, Texas, or call (830) 992-3286 to book an appointment today.