Ciaccio's glands Ciaccio's glands Ciaccio's glands or Wolfring's glands are small tubular accessory lacrimal glands ("glandulae lacrimales accessoriae") found in the lacrimal caruncle of the eyelid. They are located in the upper border of the tarsus, approximately in the middle between the extremities of the tarsal glands. Sometimes they are situated slightly above the tarsus. There are usually 2 to 5 of these glands in the upper eyelid, and their function is to produce tears which are secreted onto the surface of the conjunctiva. They are named after Italian anatomist Giuseppe Vincenzo Ciaccio (1824–1901), who described these glands in 1874. They are
Meibomian gland eyes and sometimes cause punctate keratopathy. Meibomian gland dysfunction is more often seen in women and is regarded as the main cause of dry eye disease. Factors that contribute to meibomian gland dysfunction can include things such as a person's age and/or hormones or severe infestation of Demodex brevis mite. Treatment can include warm compresses or expression of the gland by a professional. Lifitegrast and Restasis are topical medication commonly used to control the inflammation and improve the oil quality. In some cases topical steroids and topical/oral antibiotics are also prescribed reduce inflammation. Intense Pulsed Light (IPL) treatments have also