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There are a few different in-office treatments that can reduce scarring, including laser resurfacing, microneedling and injectable fillers

Med Sci Monit 12: BR 3645

Anesthesiology 2006;105:14653.ArticlePubMed 17

Failure of these treatment modalities, worsening condition or symptoms, continued loss of Meibomian glands as seen on meibography, or recurrent infections of eyelids, is highly suggestive of OMGD, a severely underdiagnosed condition

Stearoyl-CoA desaturase 1 (SCD1) is an iron-containing endoplasmic reticulum-binding enzyme that can modify lipids and play an essential role in synthesizing saturated fatty acids (SFAs) and MUFAs