Valencia-Nieto Laura, Novo-Diez Andrea, Blanco-Vázquez Marta, López-Miguel Alberto
Instituto Universitario de Oftalmobiología Aplicada (IOBA), Universidad de Valladolid, Valladolid, Spain.
Departamento de Física Teórica, Atómica y Óptica, Universidad de Valladolid, Valladolid, Spain.
Ophthalmol Ther. 2020 Dec;9(4):797-807. doi: 10.1007/s40123-020-00304-3. Epub 2020 Sep 24.
The most prevalent type of meibomian gland dysfunction (MGD), which is obstructive, is the main cause of evaporative dry eye and is characterized by changes in the meibum composition and duct obstruction. Eyelid hygiene has usually been the most common clinical approach. However, alternative therapies for MGD are emerging on the market. Some warming and humidity devices have led to an improvement in the signs and symptoms in MGD patients. Likewise, eyelid massaging and cleaning devices are also beneficial for ocular signs and symptoms; however, patients usually need more than one session to maintain the therapeutic effect. Thermal pulsation has been reported to be more efficient than other strategies, and the effects can last up to 12 months. Moreover, intense pulsed light therapy has been demonstrated to improve ocular signs and symptoms alone and in combination with other therapies. Proper counseling of clinicians considering MGD status and patient compliance will help patients to undergo the adequate technique that best suits their condition.
睑板腺功能障碍（MGD）最常见的类型是阻塞性的，它是蒸发型干眼的主要原因，其特征是睑脂成分改变和导管阻塞。眼睑清洁通常是最常见的临床方法。然而，针对MGD的替代疗法正在市场上出现。一些温热和加湿设备已使MGD患者的体征和症状有所改善。同样，眼睑按摩和清洁设备对眼部体征和症状也有益；然而，患者通常需要不止一次治疗来维持治疗效果。据报道，热脉动比其他方法更有效，其效果可持续长达12个月。此外，强脉冲光疗法已被证明单独使用或与其他疗法联合使用时可改善眼部体征和症状。临床医生根据MGD状况进行适当的咨询并确保患者的依从性，将有助于患者采用最适合其病情的适当技术。
