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. 2014 Jan 7;55(1):87–101. doi: 10.1167/iovs.13-13355

Table 2.

Grading System for Meibomian Gland Secretions Based on the Presence of Nonmelting, Nonbirefringent, Nonlipid Inclusions

Meibum Quality
Meibum Grade
Samples with virtually no dark spots/areas Grade 0
Samples with a negligible presence of dark spots/areas Grade 1
Samples with a noticeable presence of dark spots/areas Grade 2
Samples with a large presence of dark spots/areas Grade 3
Samples predominantly dark, with a small amount of melting material Grade 4