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睑板腺造影术对睑板腺的综合评估:为何上睑至关重要。

Comprehensive Assessment of the Meibomian Glands by Meibography: Why the Upper Eyelids Matter.

作者信息

Gupta Preeya K, Karpecki Paul

机构信息

Tulane University School of Medicine, New Orleans, LA.

Triangle Eye Consultants, Raleigh, NC.

出版信息

Cornea. 2025 Jan 1;44(1):128-135. doi: 10.1097/ICO.0000000000003729. Epub 2024 Nov 27.

DOI:10.1097/ICO.0000000000003729
PMID:39383472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608626/
Abstract

The clinical value of upper eyelid meibographic imaging remains relatively underexplored; consequently, it is not commonly used in clinical assessments. However, its significance could be particularly important for the early detection of various ocular diseases and systemic conditions related to the eyes. An analysis of the current literature from the PubMed database, covering the years 2005 to 2023, with additional relevant papers added from cited references was conducted. Failure to diagnose dry eye disease and meibomian gland dysfunction associated with conditions such as Sjögren syndrome or thyroid eye disease in the early stages and taking appropriate action may result in persistent signs and symptoms. This could potentially lead to the development of chronic conditions that directly affect a patient's visual quality, functionality, and overall well-being. Therefore, this review aimed to demonstrate the potential clinical significance of upper eyelid examination as an integral component of comprehensive meibomian gland evaluation.

摘要

上睑睑板腺成像的临床价值仍相对未得到充分探索;因此,它在临床评估中并不常用。然而,其意义对于各种眼部疾病和与眼睛相关的全身性疾病的早期检测可能尤为重要。我们对PubMed数据库中2005年至2023年的现有文献进行了分析,并从引用文献中补充了其他相关论文。未能在早期诊断出与干燥综合征或甲状腺眼病等疾病相关的干眼症和睑板腺功能障碍并采取适当措施,可能会导致持续的体征和症状。这可能会潜在地导致慢性疾病的发展,直接影响患者的视觉质量、功能和整体健康状况。因此,本综述旨在证明上睑检查作为睑板腺综合评估不可或缺的一部分的潜在临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec5/11608626/d5222e95574e/cornea-44-128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec5/11608626/db0d04e0f084/cornea-44-128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec5/11608626/d5222e95574e/cornea-44-128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec5/11608626/db0d04e0f084/cornea-44-128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec5/11608626/d5222e95574e/cornea-44-128-g002.jpg

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本文引用的文献

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Front Med (Lausanne). 2023 Sep 4;10:1195568. doi: 10.3389/fmed.2023.1195568. eCollection 2023.
2
Prevalence and Characteristics of Dry Eye Disease After Cataract Surgery: A Systematic Review and Meta-Analysis.白内障手术后干眼疾病的患病率及特征:一项系统评价和Meta分析
Ophthalmol Ther. 2022 Aug;11(4):1309-1332. doi: 10.1007/s40123-022-00513-y. Epub 2022 May 9.
3
Upper Eyelid Meibomian Gland Dysfunction is a Risk Factor for Dry Eye Symptoms Following Cataract Surgery in the Early Phase.
上睑睑板腺功能障碍是白内障术后早期干眼症状的一个危险因素。
Clin Ophthalmol. 2022 Feb 5;16:293-302. doi: 10.2147/OPTH.S346606. eCollection 2022.
4
Comparative of meibomian gland morphology in patients with evaporative dry eye disease versus non-dry eye disease.蒸发过强型干眼症与非干眼症患者的睑板腺形态比较。
Sci Rep. 2021 Oct 20;11(1):20729. doi: 10.1038/s41598-021-00122-y.
5
Evaluation of Meibomian Gland Loss and Ocular Surface Changes in Patients with Mild and Moderate-to-Severe Graves' Ophthalmopathy.轻度及中重度格雷夫斯眼病患者睑板腺缺失及眼表变化的评估
Semin Ophthalmol. 2022 Apr 3;37(3):271-276. doi: 10.1080/08820538.2021.1937662. Epub 2021 Jul 30.
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