We are dealing with this paediatric. Warm clean water steamy flannel compress in bath or shower, tiny amount of very dilute baby shampoo in water if you want it, no sting, no pH interference on eye surface, lid margins or surrounding delicate skin. Very gentle massage equivalent to normal eye rub with fist. Lovely gland expression, lid margins nice and clean. Blocked glands will clear. Gently - no fingernail, no harsh rubbing! If you feel you need it, gently pinch the skin below lashes for lower, eyelid for upper, to examine meibom dotted along lid line and get things moving.
Paediatric ocular rosacea ~ guttae cameli saliva secundum artem