The MiBo Thermoflo uses a proprietary thermoelectric heat pump to help maximize liquefaction of meibum, thus improving preservation and function of the evaporative component of the tear film. This provides immediate relief and has lasting benefits. MiBo delivers emissive heat at 108degreesF through a silver (.925) eye pad with ultrasound gel which allows the heat to penetrate to the glands. Warm compresses, because they hold limited heat begin to lose their therapeutic effect in less than a minute. While not as effective as MiBo, they have been used successfully for decades in the chronic management of evaporative dry eye and they remain an important adjunct. Following a treatment with the MiBo Thermoflo, the meibomian glands are expressed. These two steps help jump start the liquefaction of the meibum.