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个体睑板腺的昼夜分泌特征。

The diurnal secretory characteristics of individual meibomian glands.

机构信息

Korb Associates, Boston, MA 02215, USA.

出版信息

Cornea. 2010 Jan;29(1):34-8. doi: 10.1097/ICO.0b013e3181ac9fd0.

DOI:10.1097/ICO.0b013e3181ac9fd0
PMID:19907294
Abstract

PURPOSE

To investigate the diurnal secretory characteristics of individual meibomian glands (MGs).

METHODS

Ten subjects (4 females and 6 males) with healthy eyelid appearance and without dry eye symptoms were recruited (mean age = 23.8 +/- 1.8 years). Both right and left lower eyelids were marked in 3 places to locate 5 consecutive MGs in each third (temporal, central, and nasal) of the lower eyelid. A total of 15 MGs per eye were diagnostically expressed for 10 seconds on both right and left lower eyelids every 3 hours for 4 consecutive measurements over a 9-hour period.

RESULTS

Thirty-four percent of all tested MGs yielded liquid secretion at all measurements. Sixty-nine percent of the tested nasal MGs yielded liquid secretion at all measurements in contrast to 31% of the central MGs and only 22% of the temporal MGs. The mean numbers of MGs secreting liquid oil were significantly higher in the nasal section relative to the central and temporal sections at all measurements (p < 0.001, all measurements).

CONCLUSIONS

(1) A single MG is capable of secreting oil on demand over the course of a working day ( approximately 9 hours); (2) nasal MGs were the most likely to secrete upon demand over the course of day compared with the temporal and to a lesser degree the central MGs; and (3) secretory characteristics of individual MGs examined as a function of their location in the lower eyelid does not change diurnally.

摘要

目的

研究单个睑板腺(MGs)的昼夜分泌特征。

方法

招募了 10 名(4 名女性和 6 名男性)具有健康眼睑外观且无干眼症状的受试者(平均年龄= 23.8 +/- 1.8 岁)。在右眼和左眼的下眼睑的 3 个位置标记右下眼睑的 3 个部位,以定位每个下眼睑的第 3 (颞,中,鼻)部分的 5 个连续的 MGs。每只眼的总共 15 个 MG 在右眼和左眼的下眼睑上进行 10 秒钟的诊断性表达,每 3 小时进行 4 次连续测量,共进行 9 小时。

结果

在所有测试的 MG 中,有 34%的 MG 会产生液体分泌物。与中央 MG 的 31%和颞 MG 的仅 22%相比,69%的测试鼻 MG 在所有测量中都产生液体分泌物。在所有测量中,分泌液体油的 MG 数量在鼻段明显高于中央段和颞段(p <0.001,所有测量)。

结论

(1)单个 MG 在工作日(约 9 小时)内可以按需分泌油;(2)与颞 MG 相比,鼻 MG 在白天更有可能按需分泌,程度稍差于中央 MG;(3)作为其在眼睑下位置的函数检查的个体 MG 的分泌特征不会随昼夜变化而变化。

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