@rmoore901 You can wash the eye lids with commercial products like pads from Occusoft or just use baby shampoo. The cloth could be a warm wash cloth, not real hot, just some heat. I feel the washing and eye gel drops are the most important. My doctor did not even know I was using saline, they suggest this for all patients with Blepharitis which is eyes stuck together in the morning and very irritated. This process clears it up.