Frequency of Asymptomatic Meibomian Gland Dysfunction in Adults: A Systematic Review and Meta-Analysis - Report - MDSpire

Frequency of Asymptomatic Meibomian Gland Dysfunction in Adults: A Systematic Review and Meta-Analysis

  • By

  • Zhanar Abu

  • Kairolla Rakhimov

  • Maiya Taushanova

  • Indira Karibayeva

  • April 20, 2026

  • 0 min

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Clinical Report: Frequency of Asymptomatic Meibomian Gland Dysfunction in Adults

Overview

Revise to include the significance of the 72.86% prevalence in the context of existing literature.

Background

Meibomian gland dysfunction is a common ocular surface condition that contributes significantly to dry eye disease. Understanding the prevalence of asymptomatic MGD is crucial, as it may represent early gland abnormalities that can progress to symptomatic conditions. Current reliance on symptom-based assessments may underestimate the true burden of MGD in the population.

Data Highlights

Study TypeParticipantsAsymptomatic MGD CasesPrevalence (%)
Cross-sectional3,6371,31372.86 (95% CI: 19.33–96.78)

Key Findings

  • The combined prevalence of asymptomatic MGD was found to be 72.86%.
  • Substantial heterogeneity (I2 = 98.8%) was observed across studies.
  • Sex distribution significantly contributed to the variability in prevalence estimates.
  • The overall certainty of the evidence for the pooled prevalence estimate was classified as low.
  • Asymptomatic MGD may lead to underestimation of the disease burden if only symptomatic assessments are used.

Clinical Implications

Clinicians should consider the high prevalence of asymptomatic MGD when evaluating patients, as it may not present with typical symptoms. Early identification of asymptomatic cases could facilitate preventive strategies to mitigate progression to symptomatic dry eye disease.

Conclusion

Highlight the need for standardized definitions and suggest potential research directions.

References

  1. Contact Lens Spectrum, 1997 -- Managing Meibomian Gland Dysfunction
  2. Contact Lens Spectrum, 2015 -- Meibomian Gland Dysfunction: An Update
  3. Contact Lens Spectrum, 2012 -- Contact Lens Case Reports
  4. Optometric Management, 2010 -- Non-Obvious Meibomian Gland Disease Recommendations
  5. TFOS DEWS III Editorial, 2025 -- Diagnostic Methodology and Management & Therapy
  6. PubMed, 2023 -- Diagnostic criteria for meibomian gland dysfunction: A prospective registry-based external validation analysis
  7. TFOS DEWS III Editorial
  8. Diagnostic criteria for meibomian gland dysfunction: A prospective registry-based external validation analysis - PubMed
  9. Safety and efficacy of a novel intense pulsed light system in patients with meibomian gland dysfunction: a randomized, double-masked, intra-individual controlled study - PubMed

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