Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing 100730, China.
Biomed Environ Sci. 2023 Nov 20;36(11):1005-1014. doi: 10.3967/bes2023.131.
To evaluate the effect of intense pulsed light (IPL) in the treatment of chronic hordeolum.
Patients with chronic hordeolum who underwent IPL treatment were enrolled in this study. According to the severity of hordeolum, the patients were treated with IPL 3 to 5 times. Patients' satisfaction and visual analog scale scores for ocular discomfort symptoms before and after treatment were collected. The number, congestion, long diameter, short diameter and area of nodules were also recorded and measured. Finally, eyelid margin signs, meibum quality, meibomian gland expressibility, meibomian gland dropout, tear meniscus height, and corneal fluorescein staining were scored.
20 patients were enrolled in this study. The eyelid margins were congestive and swollen, with blunt rounding or irregularity. The meibum was cloudy or toothpaste-like. The meibomian gland expressibility, meibomian gland dropout and tear meniscus height were reduced. The cornea showed scattered fluorescein staining. After treatment, score of visual analog scale, congestion and size of nodules were significantly reduced. Eyelid margin signs, meibum quality, meibomian gland expressibility, tear meniscus height and corneal fluorescein staining scores were improved. Meibomian gland dropout had no significant change. No side effects occurred during treatment.
IPL is beneficial for the treatment of chronic hordeolum.
评估强脉冲光（IPL）治疗慢性麦粒的疗效。
本研究纳入了接受 IPL 治疗的慢性麦粒患者。根据麦粒的严重程度，患者接受了 3 至 5 次 IPL 治疗。收集了患者治疗前后的眼部不适症状的满意度和视觉模拟评分（VAS），并记录和测量了结节的数量、充血、长径、短径和面积。最后，对睑缘体征、睑脂质量、睑板腺分泌功能、睑板腺缺失、泪膜高度和角膜荧光素染色进行评分。
本研究纳入了 20 例患者。睑缘充血肿胀，呈钝圆形或不规则形。睑脂混浊或呈牙膏状。睑板腺分泌功能、睑板腺缺失和泪膜高度降低，角膜可见散在荧光素染色。治疗后，VAS 评分、结节的充血和大小明显降低。睑缘体征、睑脂质量、睑板腺分泌功能、泪膜高度和角膜荧光素染色评分均得到改善。睑板腺缺失无明显变化。治疗过程中无不良反应发生。
IPL 有利于慢性麦粒的治疗。
