If this simple modality is not effective, then other modalities like antibiotics, topical or systemic antibiotics can be given, or other types of anti-inflammatories. Sometimes, if the disease is very active and the inflammation is ongoing, then you can go through other inflammatory products, which can be applied straight on the eye. Unfortunately, this type of treatment is ongoing, and there also might be a period where the eye feels better. On longterm treatment, it’s often required.
Finally, if the simple modalities are not effective, then thermal treatment or intense pulse light is very effective in addressing the function of the glands and is one of the new treatments that is advocated now to help this gland to function well by stimulating these glands. This is not isolated from the other modes of treatment but is additional, and it definitely helps from the patient point of view and from the examiner point.