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05) and significantly higher OSDI scores (P less then 0.001), corneal fluorescein staining results (P less then 0.05), eyelid abnormality scores (P less then 0.05), meibography scores (P less then 0.05), and areas of meibomian gland loss (P less then 0.05). Ocular Surface Disease Index scores were significantly positively correlated with eyelid abnormality scores (P=0.025), meibography scores (P less then 0.05), and areas of meibomian gland loss (P less then 0.05) and negatively correlated with meibomian gland expression (P less then 0.