To be honest - if your doctor is at Mass Eye and Ear, he is probably very good. I don't have much to add other than the possibility of trying ocusoft plus or sterilid eyelid cleansers as part of your plan. Also could consider minocycline instead of doxycyline and use it in a lower dose. Finally, make sure that he looks to make sure you don't have demodex follicularis which can be seen with some of the newer higher magnification slit lamp (I can see the with my new slit lamps.) Consider adding oral flax and omega 3 fish oil to diet.
Michael Kutryb, MD