Efficacy and Safety of Meibomian Gland Dysfunction and Dry Eye With an LED Blue Treatment Device

1. Provision of signed and dated informed consent form and HIPPA authorization.
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Male or female, aged 18 -85.
4. Diagnosed with mild to severe dry eye in one or both eyes with evidence of Meibomian gland dysfunction: cloudy or thick secretions, lack of secretions or presence of telengiectasias on the lower lid margin.
5. History of persistent symptoms despite use of artificial tears.
6. Tear break up time of 7 seconds or less
7. Have normal lid anatomy.
8. Subject is able and willing to comply with the treatment, follow up schedule and requirements.
9. For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 4 weeks after the end of the study.
10. For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner
11. Are postmenopausal (no menstrual cycle for at least one year prior to Visit 1) or have undergone bilateral tubal ligation, hysterectomy, hysterectomy with uni- or bilateral oophorectomy, or bilateral oophorectomy.

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Exclusion Criteria:

1. Have a known hypersensitivity or contraindication to the investigational product or components.
2. Pregnancy or lactation
3. Subjects can be on the following medications if they have been on a stable dose for 12 weeks: topical cyclosporine, topical liftigrast and/or topical loteprednol etabonate. Tetracycline compounds, omega 3s, anticholinergics, anticonvulsants, antidepressants, retinoids, systemic immunosuppressive agents including oral corticosteroids, non-steroidals, antihistamines, or mast cell stabilizers, punctal plugs, contact lens wear and glaucoma medications.
4. Subjects must be unwilling to abstain from eyelash growth medications for the duration of the trial.
5. Subjects must not have had penetrating intraocular surgery, refractive surgery or corneal transplantation, eyelid surgery within 12 weeks prior to Visit 1.
6. Febrile illness within one week.
7. Treatment with another investigational drug or other intervention within one month.
8. Subjects with a history of herpetic keratitis.
9. Have serious or severe disease or uncontrolled medical condition that in the judgement of the investigator could confound study assessments or limit compliance.
10. Neuro-paralysis or pre-cancerous lesions in the area to be treated.
11. Radiation to the head or neck within past 12 months.
12. Planned radiation therapy or chemotherapy.
13. Anticipated relocation or extensive travel outside of the local study area preventing compliance with study procedures.
14. Legally blind in either eye.
15. Facial IPL treatment within 3 months of treatment.

16. Expression of Meibomian glands within 3 months prior to treatment.

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