If this simple modality is not effective, then other modalities like antibiotics, topical or systemic antibiotics, and anti-inflammatories can be given. Sometimes if the disease is very active and the inflammation is ongoing, you can go through other inflammatory products, which can be applied straight on the eye. Unfortunately, this type of treatment is ongoing, and there might be a period where the eye feels better.
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. This is one of the new treatments advocated now to help the glands to function well by stimulating the glands. This is not isolated from the other modes of treatment and can be used in addition.