Meiboscopy/ Meibography – What it Shows

by David Jenyns

This drawing represents meibomian glands seen with the meiboscope. Drawings make it clearer what you can see as we can point things out easier. Meibomian glands look darker than the background in trans illuminated meiboscopy. Healthy meibomian glands are regular, long even thickness and do not cause sinking of the palpebral conjunctiva here……. or have sunken orifices here Blocked glands cause convex ridges on the palpebral conjunctiva here – easiest seen at the eyelid fold – here the gland maybe only blocked lower down – giving the gland a focal bulbous area. Empty glands can be seen as grey enlarged stripes. Gland stress cause irregular shape and width. Glands don’t die completely – in many cases only the far end dies and the gland seems short = the deeper distal part being either empty or irregular. = or it maybe its the orifice end that inflames and blocks leaving the central duct and acini deep in the lid without access to the lid margin – sometimes these excavate to a nearby gland duct. Inflamed or blocked orifices set up enlarged or uneven glands near to the orifice. Orifice inflammations always give associated telangeictasia of the nearby lid margins. Deeper inflammations are always localized and cause acini death and damage leaving an uneven thickness to the gland and duct. Gland width irregularity is due to focal acini being blocked and degenerating. We think there are assumptions made about notching and orifice sinking. We reviewed the literature and find

Friends and family, including Royal Media Services Group Chairman SK Macharia thronged the home of veteran politician Njenga Karume after reports that his health had deteriorated. Karume who is due to fly out for further treatment has been battling prostate cancer. Karume has been off the public’s eye for some time as he fights the disease. According to his daughter Wanjiku Kahiu Karume, the doyen of Kiambu politics has been spending most of his time in his Cianda home in Kiambu. The veteran politician is a close confidante of President Mwai Kibaki and last held the defence ministry portfolio during Kibaki’s first term at the helm of the country. A cheerful Karume spent the most of this morning entertaining his guests as they thronged his Cianda home. He is due to fly out for further treatment anytime soon.
Video Rating: 5 / 5

{ 9 comments… read them below or add one }

jimsyhot February 7, 2012 at 4:17 pm

even Moi visited him. that’s dope!! (sorry if you? dont hear/speak Gikuyu)

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rashaenka February 7, 2012 at 5:13 pm

Get well Mr Karume.You’re a true? business titan unlike some who used their bully pulpit to detain their “business partners” to get ill gotten gains

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jamaatuu February 7, 2012 at 5:36 pm

Kenyan media is heading the tabloids way,just like The? Sun newspaper in the uk.

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ekacio February 7, 2012 at 6:18 pm

Get better? Mr.Karume yr good old man.

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jabumuri February 7, 2012 at 6:50 pm

We thank? God for you.Please get well soon. It is very bad for people to carelessly give information about a person’s death without verifying the truth.

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Utadowot February 7, 2012 at 7:48 pm

get well soon?

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ruthsteve February 7, 2012 at 8:03 pm

Same bull they are doing with celebritys? here!

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nedatronics February 7, 2012 at 8:50 pm

what sickness? shoddy? journalism strikes again.

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MrSimkariuki February 7, 2012 at 9:29 pm

Mwananichi Njenga Karume,? Thank God!!

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