Figure 1.
The MGD subjective grading scale.
Notes: Grade 0 is normal meibum easily expressed. Grade 1 is meibum easily expressed, but with with a more turbid oil. Grade 2 includes the presence of more turbid oil and a more viscous appearance. Grade 3 is the expression of “ropy” meibum. Grade 4 is no expression from the glands despite multiple attempts.
Abbreviation: MGD, meibomian gland disease.