What is Chronic Staph Lid Disease (CSLD)?

CSLD is a catch-all term for inflammation of the eyelid margin and lid glands. It can be characterized as one of two distinct classes: Meibomian Gland Dysfunction and Blepharitis.

CSLD is often associated with staph bacteria, one’s genetic background, ocular hygiene and systemic health. CSLD can be a common cause of Dry Eye and can be aggravated by allergies.

Symptoms include blurriness, tearing, burning, light sensitivity, a sandy gritty feeling, crustiness around the eyelashes, redness of the lid margin. Complications include frequent styes, ocular surface disease, eyelash and gland dropout.

Meibomian Gland Dysfunction (MGD)

MGD is a blockage, clog or stasis of the glands responsible for normal tear film production resulting in compromises in vision, comfort, contact lens success and overall eye health.

The goal of treatment is to clear the thickened, often cheese- or toothpaste-like material. MGD is a chronic, lifetime affliction often associated with family history, cholesterol, diet and lifestyle, and other health conditions.

Treatment includes heat and massage therapy, Omega-3 supplements, Doxycycline, in-office gland expression and, in severe cases, a treatment called LipiFlow: an in-office, painless thermal pulsation procedure.


LipiFlow represents the highest level of treatment for MGD. The Lipiflow instrument applies heat and waves of pressure to the eyelids to treat clogged glands. The procedure is done in-office by one of our technicians and is not covered by insurance.