Short-term use of a topical steroid to reduce the inflammation in and around the meibomian glands will help to restore the free flow of oil.   Lotemax gel (loteprednol etabonate, Bausch + Lomb) is particularly useful in this initial stage of treatment. An advantage of the drug’s gel form is that the suspension maintains an equal distribution of the active ingredient throughout the bottle without having to shake before using.  

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