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[睑板腺导管探查术治疗睑缘炎]

[Intraductal meibomian gland probing for the treatment of blepharitis].

作者信息

Fermon S, Zaga I Hindi, Alvarez Melloni D

机构信息

Centro Oftalmológico Interlomas, Universidad Anáhuac, Ciudad de México, México.

Centro Oftalmológico Interlomas, Universidad Anáhuac, Ciudad de México, México.

出版信息

Arch Soc Esp Oftalmol. 2015 Feb;90(2):76-80. doi: 10.1016/j.oftal.2014.04.014. Epub 2014 Jul 5.

Abstract

OBJECTIVE

To describe the results of the meibomian gland probing as a treatment of severe posterior blepharitis.

METHODS

Prospective, longitudinal study of patients with signs and symptoms of severe posterior blepharitis, who were treated with meibomian gland probing in Centro Oftalmológico Interlomas (CENOFI). A total of 16 patients were included, 62.5% female and 32.5% male, diagnosed with severe posterior blepharitis. Treatment was performed in one eye. The time of rupture of the tear film was evaluated, using a subjective scale of 0-10 photophobia, the improvement in pain and visual acuity was measured before the procedure, and at one week and 6 months after.

RESULTS

All the patients showed a statistically significant improvement in all 4 variables al 6 months. There were no complications.

DISCUSSION

The dysfunction of the meibomian glands is a common reason for ophthalmology consulting. The study describes the results obtained by performing an intraductal survey, which was shown to be safe and effective in 100% of the sample.

CONCLUSIONS

It can be concluded from this study that meibomian gland probing is an effective and promising treatment for blepharitis resistant to conservative treatment.

摘要

目的

描述睑板腺探查术治疗重度后部睑缘炎的结果。

方法

对在中央眼科Interlomas(CENOFI)接受睑板腺探查术治疗的有重度后部睑缘炎体征和症状的患者进行前瞻性纵向研究。共纳入16例患者,其中女性占62.5%,男性占32.5%,均诊断为重度后部睑缘炎。仅对一只眼进行治疗。采用0 - 10级畏光主观量表评估泪膜破裂时间,在手术前、术后1周和6个月测量疼痛和视力的改善情况。

结果

所有患者在6个月时所有4项指标均有统计学意义上的显著改善。无并发症发生。

讨论

睑板腺功能障碍是眼科就诊的常见原因。该研究描述了进行导管内探查所获得的结果,结果显示在100%的样本中该方法安全有效。

结论

从本研究可以得出结论,睑板腺探查术是一种治疗对保守治疗耐药的睑缘炎的有效且有前景的方法。

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