These images show two women in their 40s with a similar occupational background.

In Patient 1, the lower lid looks relatively reassuring.

But the upper lid tells a different story.

In Patient 2, we see almost the opposite pattern.

This is why both eyelids should be assessed as part of a complete meibomian gland evaluation.

The upper lid does not just add more information — it can change the clinical picture.

And once patients can see these findings for themselves, the conversation about prevention, treatment, eyelid hygiene, and adherence becomes much easier.