Yes, my meibomian glands have been non-functional for a very long time. Warm, wet compresses for 5-10 minutes helps with the discomfort and burning, but directions to do this several times a day, were discounted after a brief time. The Hypo-Chlor helped a little but was an irritant in itself if over used . I use tobramycin/dexamethasone infrequently on eyelid margins and that always helps. But am cautious about any steroid . I used it last night and the redness, burning and discoloration from too must rubbing under my lower lid was gone this a.m.. The collarettes are definitely improved, that makes me feel better, to see some changes. I started the "action against the mites" around February 29 or week before as I learn how and what to do. I'm finished with cataract surgery for some years. I hope you can get yours done finally . Having to keep rescheduling and anticipating what's next can only be added stress. Sounds like you have very good doctors so must be a comfort, and you're almost there. Your dedication to a time consuming routine is paying off. I'll check out the Tarsus site. tx