In-office procedures · Thermoelectric lid therapy

MiBo Thermoflo Steady, controlled heat for the eyelids.

MiBo Thermoflo, also called MiBoFlo, treats Meibomian Gland Dysfunction (MGD) without anything touching the inner lid. The clinician glides a heated probe over the closed eyelid with ultrasound gel, and a thermoelectric control keeps the pad at 108.5°F (roughly 42°C) for the whole treatment.

Visit MiBo Medical Group Back to all procedures

MiBo Thermoflo console with handheld probe

108.5°Fheld throughout treatment (about 42°C)

About 20 minfor both eyes in a typical visit

4heat settings on the IIx Dual

$0in tips or per-use fees

Why practices add it

Heat that does not fade

A Peltier heat pump inside the unit warms a silver pad, which the clinician moves across the outside of the eyelid over a layer of ultrasound gel. Holding the heat steady is meant to soften thickened meibum so it can be expressed and rejoin the lipid layer of the tear film.

Comfortable for patients

The warmth and gentle massage feel relaxing, and many patients say their eyes feel better the same day.

Nothing to throw away

There are no single-use tips and no click or per-treatment charges. Staff simply clean the pad before the next patient.

Staff can run it

The workflow is simple enough to hand to trained technicians, and it fits alongside the rest of a dry eye program.

Studied for over ten years

Published studies spanning more than a decade report gains in symptoms, gland function, tear-film stability, surface health and quality of life.

Gomez et al. 2022 and 2024

Inside the system

A small tabletop console with a touch screen and a thermoelectric heater, plus handheld probes that treat through the closed eyelid.

No tips or click fees
Upper and lower lids together
Can be run by trained staff

Thermoelectric heater

Peltier technology keeps the pad at a constant therapeutic temperature, where a warm compress starts cooling within minutes.
Sterling silver pads

Pads made of .925 silver carry the heat to the lid. They are interchangeable, can be sterilized and are cleaned between patients.
Gel-coupled massage

A layer of ultrasound gel links the warm pad to the lid and lets the clinician massage as the meibum softens.
Two-eye handpiece

On the IIx Dual, a handpiece that adjusts to the patient's PD treats both eyes together, and the heaters detach when only one eye needs treatment.

In the chair

The clinician guides each treatment

MiBoFlo is performed by hand, so pressure, motion, timing and placement are adjusted to what the patient and clinician report.

Roughly 20 minutes

Both lids can be treated at once, and a two-eye session usually takes about 20 minutes.

Warm first, express second

Heat delivered through the outside of the lid is meant to loosen thickened meibum, which is then expressed to help restore the lipid layer.

Plan a series

Because MGD is chronic and tends to progress, a series of treatments is recommended to help improve meibum quality and gland function and keep the tear film stable over time.

Specs

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, interchangeable and sterilizable
Coupling medium	Ultrasound gel
Touch screen	4.3 in (ThermoFlo I); 5 in (IIx Dual)
Handpiece	Single handpiece (ThermoFlo I); dual handpiece with PD adjustment and a 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)
Made in	Texas, USA

Questions doctors ask about MiBo Thermoflo

Does MiBoFlo soften meibum?

That is its purpose. The thermoelectric heat is meant to loosen thickened meibum, which makes expression easier and supports the tear film in MGD patients.

What makes it different from a warm compress?

A warm compress loses heat quickly and rarely stays at a therapeutic temperature. MiBoFlo uses a Peltier heater to hold about 108°F (42°C) and delivers it through a .925 silver pad and ultrasound gel.

Does it have to touch the inner eyelid?

No. The meibomian glands sit inside the tarsal plate, and MiBoFlo produces enough heat to reach them through the lid. Temperature readings taken during treatment have confirmed therapeutic tissue temperatures.

Can both lids be treated together?

Yes. The pads are interchangeable and can be sterilized, and a session covering both eyes usually takes about 20 minutes.

Why do patients need more than one treatment?

MGD is a chronic disease that tends to progress, not a single blockage. A series of heat treatments can help improve meibum quality and gland function and keep the tear film stable.

Published 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.

Bring thermoelectric lid therapy to your MGD patients.

MiBo Thermoflo adds a heat treatment with no tips or per-use fees that a doctor or trained technician can complete in about 20 minutes.