The eyelids are an essential component of maintaining a healthy tear film and treatment of eyelids is often part of a management strategy for dry eye disease. One long-established technique for dry eye disease treatment involves the use of warm compression, although more recently, controlled abrasion has also been used as part of a management strategy. To understand the importance of a more recent treatment option, Dr Keyur Patel explains how the use of very high energy impulses on the eyelids can help treat dry eye disease.