Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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D Nirupama*, B Hymavathi, L Prathima, T Sanjay Reddy, G Satyanarayana Reddy


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Meibomian gland probing in patients with meibomian gland dysfunction


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Author Details : D Nirupama*, B Hymavathi, L Prathima, T Sanjay Reddy, G Satyanarayana Reddy

Volume : 5, Issue : 1, Year : 2019

Article Page : 78-81

https://doi.org/10.18231/2395-1451.2019.0018



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Abstract

Purpose: To evaluate the efficacy of Meibomian gland probing for obstructive Meibomian gland dysfunction (O-MGD) using intraductal Meibomian gland probe.
Materials and Methods: 30 patients with Obstructive MGD based on 1. Presence of lid tenderness/ lid margin congestion/ telangiectasia /viscous meibomian gland secretion on slit lamp examination; 2. Tear Film Breakup Time less than 10 seconds; 3. OSDI (Ocular Surface Disease Index) score more than 12, were taken up to intraductal meibomian gland probing. Patients were reviewed after 1 month, 3 months and 6 months. In each visit slit lamp examination was done to see for the improvement of lid margin congestion. TBUT was done and improvement in symptoms were assessed with OSDI questionnaire.
Results: At the end of 6 months 28 patients (93.3%) had improvement in TBUT and OSDI. Lid margin congestion decreased in all the patients. TBUT improved from 5.33 ±1.56 sec to 9.87±1.56 (p value 0.0001). OSDI score improved from 26±7.49 to 13.5±3.57 (p value 0.0001). 8 patients (26.6%) required retreatment after 3 months.
Conclusion: Intraductal probing had a substantial improvement in lid tenderness, TBUT and provided symptomatic relief for patients with Obstructive-MGD.

Keywords: Dry eye, Meibomian gland probing, Obstructive-meibomian gland dysfunction, Tear film breakup time (TBUT).


How to cite : Nirupama D, Hymavathi B, Prathima L, Reddy T S, Reddy G S, Meibomian gland probing in patients with meibomian gland dysfunction. Indian J Clin Exp Ophthalmol 2019;5(1):78-81

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