In this episode, Profs. Mario Nubile and Sotiria Palioura discuss the critical importance of OSD screening prior to cataract and refractive surgery. Despite its high prevalence, meibomian gland dysfunction (MGD) often goes undetected, potentially leading to suboptimal surgical outcomes and patient dissatisfaction. The experts share practical strategies for systematic OSD evaluation, MGD management, and patient education to enhance surgical precision, safety, and patient satisfaction.

This episode uncovers Demodex blepharitis, one of OSD’s most overlooked causes. Profs. Nubile and Palioura explore why this chronic, underdiagnosed condition is so prevalent, how to identify it, and how to select effective treatments—ranging from established options to emerging approaches. The discussion highlights how systematic screening, patient education, and innovative in-office and at-home treatments can transform management and improve outcomes.