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When your eyes constantly water, burn, or feel tired, it may seem logical to assume you are producing too few tears. However, the problem may actually begin in the oil-producing glands along your eyelids. Meibomian gland dysfunction, commonly called MGD, is a major contributor to evaporative dry eye and can create an ongoing cycle of irritation, unstable tears, and ocular fatigue. At Advanced Dry Eye Center, we look beyond individual symptoms to determine what is affecting the health and stability of the tear film.