A soothing treatment
MiBoFlo gently heats the meibomian glands in a soothing, spa-like treatment, and many patients report comfort the same day.
In-Office Procedures · Thermoelectric Lid Therapy
MiBo Thermoflo Thermoelectric heat therapy for the eyelids.
MiBo Thermoflo (MiBoFlo) is a non-invasive thermal treatment for Meibomian Gland Dysfunction (MGD). A handheld probe delivers continuous, thermoelectrically controlled heat to the outer eyelid at a steady 108.5°F (about 42°C), paired with ultrasound gel for a gentle massage.
108.5°FSteady treatment temperature (~42°C)
~20 minTypical bilateral treatment
4Temperature modes (IIx Dual)
0Disposable tips or click fees
How it works
Continuous controlled heat
A proprietary thermoelectric (Peltier) heat pump warms a silver treatment pad that is moved over the outer eyelid with ultrasound gel. Sustained heat is designed to help liquefy hardened meibum so it can be expressed and returned to the tear film's lipid layer.
No disposables
No disposable treatment tips, click fees or recurring per-treatment costs. The eyepad is simply cleaned between patients.
Delegable to staff
A simple, efficient workflow that can be delegated to trained staff and fits into any comprehensive dry eye program.
Published clinical research
More than a decade of published research shows measurable improvements in dry eye symptoms, meibomian gland function, tear-film stability, ocular surface health and patient-reported outcomes.
Gomez et al. 2022; Gomez et al. 2024How MiBo Thermoflo is built
A compact tabletop unit with a touch screen, a thermoelectric heat pump and handheld probes that treat through the outer eyelid.
- No disposable tips or click fees
- Treats upper and lower lids
- Delegable to trained staff
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Thermoelectric heat pump
Proprietary Peltier technology holds a steady therapeutic temperature, unlike warm compresses, which cool rapidly.
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.925 silver treatment pad
Sterilizable, interchangeable silver pads transfer controlled heat to the eyelid and are cleaned between patients.
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Ultrasound gel massage
Ultrasound gel couples the heated pad to the eyelid for a gentle massage that helps soften meibum.
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Dual handpiece
The IIx Dual's PD-adjustable dual handpiece treats both eyes at once, with detachable heaters for single-eye use.
The procedure
A provider-controlled treatment
MiBoFlo is a manual treatment. Pressure, movement, duration and precision are adjusted based on patient and clinician feedback.
About 20 minutes
Upper and lower eyelids can be treated at the same time, and most bilateral treatments are completed in about 20 minutes.
Heat, then expression
Sustained heat through the outer eyelid is designed to soften inspissated meibum, which is then expressed to help support the tear film's lipid layer.
A course of treatments
MGD is a chronic, progressive disease, so repeated treatments are recommended to help normalize meibum quality, improve gland performance and stabilize the tear film over time.
Specifications
Technical specifications
| Treatment temperature | 108.5°F (~42°C), Normal mode |
|---|---|
| Temperature modes, ThermoFlo IIx Dual | Low (-1%), Normal (108.5°F), High (+1%), Ultra (+1.5%) |
| Temperature modes, ThermoFlo I | Normal (108.5°F) and Low |
| Heat source | Thermoelectric (Peltier) heat pump |
| Treatment pad | .925 silver, sterilizable and interchangeable |
| Coupling medium | Ultrasound gel |
| Touch screen | 4.3 in (ThermoFlo I); 5 in (IIx Dual) |
| Handpiece | Single handpiece (ThermoFlo I); PD-adjustable dual handpiece with 90-degree rotating cord mount (IIx Dual) |
| Dimensions | 6 x 8.5 x 4 in (ThermoFlo I); 6.25 x 8.5 x 4 in (IIx Dual) |
| Weight | 3 lb (ThermoFlo I); 4 lb (IIx Dual) |
| Manufactured in | Texas, USA |
Common questions about MiBo Thermoflo
Does MiBoFlo liquefy meibomian gland secretions?
Yes. MiBoFlo uses thermoelectric heat designed to soften inspissated meibum, which can help gland expression and support the tear film in patients with MGD.
How is MiBoFlo different from a warm compress?
Warm compresses cannot consistently reach or hold therapeutic temperatures and cool rapidly. MiBoFlo uses thermoelectric (Peltier) technology to deliver a controlled temperature of about 108°F (42°C) through a .925 silver treatment pad and ultrasound gel.
Does treatment need to be applied to the inner eyelid?
No. The meibomian glands lie within the tarsal plate, and MiBoFlo generates enough thermal energy to warm them through the eyelid tissues. Real-time temperature measurements confirm therapeutic tissue temperatures during treatment.
Can upper and lower eyelids be treated at the same time?
Yes. MiBoFlo has sterilizable, interchangeable treatment pads, and most bilateral treatments take about 20 minutes.
Why are multiple treatments recommended?
MGD is a chronic, progressive disease rather than a one-time obstruction. Repeated thermal therapy can help normalize meibum quality, improve gland performance and stabilize the tear film over time.
Peer-reviewed clinical studies
- Gomez ML, Afshari NA, Gonzalez DD, Cheng L. Effect of Thermoelectric Warming Therapy for the Treatment of Meibomian Gland Dysfunction. Am J Ophthalmol. 2022;242:181-188. PubMed
- Gomez ML, Jung J, Gonzales DD, Shacterman S, Afshari N, Cheng L. Comparison of Manual versus Automated Thermal Lid Therapy with Expression for Meibomian Gland Dysfunction in Patients with Dry Eye Disease. Sci Rep. 2024. doi:10.1038/s41598-024-72320-3. PubMed
- Li S, Yang K, Wang J, et al. Effect of a Novel Thermostatic Device on Meibomian Gland Dysfunction: A Randomized Controlled Trial in Chinese Patients. Ophthalmol Ther. 2022;11:261-270. PubMed
- Mehta NN, Nagel ID, Agnihotri A, et al. Dry Eye Disease Treatment Improves Subjective Quality-of-Life Responses in Patients with AMD, Independent of Disease Stage. PLoS One. 2025;20:e0318733. PubMed
- Sarhan AAE, Marey HM, Zaky MA, Soliman LS. Effect of MiBoFlo Treatment in Dry Eye Patients with Meibomian Gland Dysfunction. Egypt J Hosp Med. 2026;103:2118-2128.
Add MiBo Thermoflo to your dry eye program
A thermoelectric lid therapy for MGD with no disposable tips or per-treatment fees, delivered by doctors or trained staff in about 20 minutes.
MiBo Thermoflo is a trademark of MiBo Medical Group. Review the full manufacturer instructions for use, including all warnings, precautions and contraindications, before use. Individual results vary.
