Seeking advice

Hey! I suffer from mgd probably due to past use of accutane + ocular allergies. My symptoms are almost 24/7, sometimes better, sometimes worse. When I went to the optometrist 6 months ago he said my glands were entirely clogged, now I have seemed to have made some progress, he sais they’re not clogged but consistency could be a bit more fluid which sounds not too bad for me. Been on feststand since 3 months, doing steam warm mask 3 times a day and started omega 7 1 week ago after doing omega 3 for months now. Eyedrops don’t really help me. Meibography showed mostly ok/good glands, a bit damaged in the lower lids but nothing too bad. Does anyone have an idea for me why my symptoms still are that bad? Also had 1 lipiflow and 4 IPL sessions already. Would be very thankful for any hint/advice!!