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Intraductal Meibomian Gland Probing

Steven Maskin, MD, demonstrates a new invasive treatment for meibomian gland dysfunction (MGD), a common cause of dry eye, that can be performed at the slit lamp. The Maskin Meibomian Gland Intraductal Probes (Rhein Medical, Tampa, FL) are designed to re-establish ductal patency for improvement of symptoms such as reduced lid tenderness and artificial tear use, and improved lid movement.

Comments (16)

Is this procedure reimbursable? If so, what CPT code is used as I cannot seem to locate one for this particular procedure, or is it too new to have a CPT code yet?

nateruttig (92 months ago)

Performing transillumination of lid will help identify status and morphology of gland.

drmaskin (99 months ago)

I have tried this on pt with severe chronic meibomian gland blockages. Also had Floppy eyelid syndrome with lid shortening. Lid margin dysmorphic, How can I tell if there is a gland to be found to probe? I spent 45 minutes first time around with him but I think I could spend a couple hours total to get everything probed. Are you getting reimbursed by Medicare for this procedure using an unisted code?

drake (99 months ago)

so nice act any one intrest in retinoblastoma recent may help me in my work in egypt

mah (101 months ago)

I have not yet tried this for chalazion, but a surgeon from Houston has successfully been able to enter and drain the chalazion with the probes.

drmaskin (104 months ago)

DrMaskin, Have you try the probe for a chalazion ? I alway wonder if we should try to approach certain chalazion from the meibomian gland opening ?

eyeMD (104 months ago)

drmaskin i am in syria how can i get the probes please i want to try this probes this is my email if you can give an aid

Ophthalmic (104 months ago)

Yes. Probes are now available from Rhein Medical in Tampa, Florida.

drmaskin (105 months ago)

Are the probes available ?

(105 months ago)

Our technology allows you to enter the orifice and entire length of duct,without trauma, with a

drmaskin (105 months ago)

I've done this with the tip of an Ellman probe to breakup secretions (no cautery of course). I did not realize this was a "new" procedure either

smhunt111 (105 months ago)

We are using fine wire less than 80 micron in diameter for orifice penetration and intraductal probing, relatively atraumatically, to avoid altering the intrinsic gland architecture and function. By using this fine wire during probing I identified intraductal resistance and obstruction compatible with fibrovascular membranes which could be gently opened. Symptom relief is dramatic and immediate.

drmaskin (105 months ago)

i used to do this in my clinic by removing the accumulated hard materials at the opening of the ducts then going through the ducts by 27G needle and sometimes irrigate using betamethasone and the results were fantastic indeed and i didn't imagine that this procedure could be a new method

Ophthalmic (105 months ago)

What CPT code do you use for this procedure?

DrOwen (105 months ago)

Presence of blood means breakage of blood vessels with a subsequent "healing" response. Wouldn't this increase obstruction?

EyeDocBoston (105 months ago)

looking forward to a prospective, randomized double blind study (of course, the treating doc cant be blinded, but a third doctor who assesses the patient's progress can be). certainly looks promising and makes sense.

ranchump (105 months ago)