scholarly journals Tear lipid layer thickness with eye drops in meibomian gland dysfunction

2016 ◽  
Vol Volume 10 ◽  
pp. 2237-2243 ◽  
Author(s):  
Jennifer Fogt ◽  
Matthew Kowalski ◽  
P. Ewen King-Smith ◽  
Alice Epitropoulos ◽  
Andrew Hendershot ◽  
...  
Keyword(s):  
Layer Thickness ◽  
Meibomian Gland ◽  
Meibomian Gland Dysfunction ◽  
Eye Drops ◽  
Lipid Layer

Focused ultrasound stimulation on meibomian glands for the treatment of evaporative dry eye

2021 ◽  
pp. 153537022110520
Author(s):  
Gengxi Lu ◽  
Sumanth Gollapudi ◽  
Runze Li ◽  
Margaret L Pfeiffer ◽  
Preeya Mehta ◽  
...  
Keyword(s):  
Layer Thickness ◽  
Dry Eye ◽  
Focused Ultrasound ◽  
Meibomian Gland ◽  
Meibomian Gland Dysfunction ◽  
Lipid Layer ◽  
Mean Values ◽  
Ultrasound Stimulation ◽  
Evaporative Dry Eye ◽  
Meibomian Glands

Current treatments for meibomian gland dysfunction have several limitations, creating a necessity for other advanced treatment options. The purpose of this study is to determine the effectiveness of focused ultrasound stimulation for the treatment of dry eye disease caused by meibomian gland dysfunction. An in vivo study of nine Dutch Belted rabbits was conducted with focused ultrasound stimulation of the meibomian glands. A customized line-focused ultrasonic transducer was designed for treatment. Fluorescein imaging, Schirmer’s test, and Lipiview II ocular interferometer were used to quantify outcomes from three aspects: safety, tear production, and lipid layer thickness. Both tear secretion and lipid layer thickness improved following ultrasound treatment. Five to 10 min after the ultrasound treatment, the mean values of lipid layer thickness increased from 55.33 ± 11.15 nm to 95.67 ± 22.77 nm ( p < 0.05), while the mean values measured with the Schirmer’s test increased from 2.0 ± 2.3 to 7.2 ± 4.3 ( p < 0.05). Positive effects lasted more than three weeks. Adverse events such as redness, swelling, and mild burn, occurred in two rabbits in preliminary experiments when the eyelids sustained a temperature higher than 42°C. No serious adverse events were found. The results suggest that ultrasound stimulation of meibomian glands can improve both tear production and lipid secretion. Ultimately, ultrasound stimulation has the potential to be an option for the treatment of evaporative dry eye disease caused by meibomian gland dysfunction.

scholarly journals Assessment of tear film lipid layer thickness in patients with Meibomian gland dysfunction at different ages

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Junhua Li ◽  
Jiling Ma ◽  
Man Hu ◽  
Jianqin Yu ◽  
Yune Zhao
Keyword(s):  
Layer Thickness ◽  
Statistical Significance ◽  
Tear Film ◽  
Young Group ◽  
Meibomian Gland ◽  
Influential Factor ◽  
Meibomian Gland Dysfunction ◽  
Middle Aged ◽  
Lipid Layer ◽  
Eyelid Margin

Abstract Background To evaluate the correlations between lipid layer thickness (LLT) and morphology and function of the meibomian glands in patients who were diagnosed as meibomian gland dysfunction (MGD) in different age groups. Methods Patients who have diagnosed as obstructive MGD were included in this prospective, cross-sectional study. Patients were divided into three groups: young (ages 20–39 years), middle-aged (ages 40–59 years), and older (aged ≥60 years). All patients completed an Ocular Surface Disease Index (OSDI) questionnaire and were evaluated for LLT, tear meniscus height (TMH), noninvasive tear film break-up time (NI-BUT) measurement, invasive TBUT (ITBUT), corneal fluoresceinstaining (CFS) score, eyelid margin abnormalities, Schirmer I test, and MG function and morphology, by using the Keratograph 5 and LipiView interferometer. Results Two hundred and nine patients (209 eyes) were included. The median LLT of all patient was 57 nm (IQR, 36.5 nm), and the LLT values were significantly different among the young group (median, 51 nm; IQR, 23.5 nm), middle-aged group (median, 59.5 nm; IQR 46.5 nm) and older group (median, 62 nm; IQR, 42.5 nm) (P = 0.033, Kruskal-Wallis test). In regression analyses controlling for confounder factors sex and MG loss, the LLT was positively correlated with age (β = 5.539, P = 0.001). There was a negative correlation between LLT and MG dropout in the all (r = − 0.527, P < 0.001), young (r = − 0.536, P < 0.001), middle-aged (r = − 0.576, P < 0.001), and older (r = − 0.501, P < 0.001) groups. LLT was positively correlated with the MG expressibility in the all (r = 0.202, P = 0.003), middle-aged (r = 0.280, P = 0.044) and older (r = 0.452, p < 0.001) groups, but it was no statistical significance in the young group (r = 0.007, P = 0.949). Conclusions The thickness of LLT was increased with age and significantly correlated with both MG secretion and morphology in middle-aged and older patients with obstructive MGD. LLT measurement is a useful screening tool for detecting obstructive MGD and age as an influential factor should be accounted for when interpreting the meaning of the LLT value. Trial registration NCT02481167; Registered 25 June, 2015.

Ocular surface analysis: A comparison between the LipiView® II and IDRA®

2020 ◽  
pp. 112067212096903
Author(s):  
Jeong Min Lee ◽  
Young Joon Jeon ◽  
Kook Young Kim ◽  
Kyu-Yeon Hwang ◽  
Young-A Kwon ◽  
...  
Keyword(s):  
Observational Study ◽  
Layer Thickness ◽  
Surface Analysis ◽  
Ocular Surface ◽  
Random Order ◽  
Meibomian Gland ◽  
Lipid Layer ◽  
Cross Sectional ◽  
Single Visit ◽  
Significant Difference

Purpose: To compare the lipid layer thickness (LLT), meibomian gland (MG) dropouts, and blinking pattern determined by the analysis of images acquired from the LipiView® II (LVII) and the IDRA® Ocular surface analyzer. Methods: A cross-sectional single-visit observational study was conducted. The LLT (minimum, maximum, and average), percentages of MG dropouts, and partial blink rates (PBR) were taken from both eyes of 47 participants using LVII and IDRA. Both devices were used to image the inferior eyelid of each participant in a random order. Results: Forty-seven participants (mean age 56.77 ± 14.47 (21–79) years, 66% female) completed the study. There was no significant difference in LLT between the two devices. A significant difference in percentages of MG dropouts was obtained between the LVII (36.51 ± 17.53) and the IDRA (45.36 ± 21.87), p = 0.003). There was also a significant difference in PBR between the LVII (0.51 ± 0.37) and the IDRA (0.23 ± 0.27), p < 0.001). Conclusion: No significant difference in LLT was obtained between LVII and IDRA. IDRA had a significantly lesser percentage of MG dropout and a higher PBR compared to LVII. These results indicate that these devices should not be used interchangeably for the evaluation of MG dropouts and PBR.

scholarly journals Ocular Surface Workup in Patients with Meibomian Gland Dysfunction Treated with Intense Regulated Pulsed Light

Diagnostics ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 147 ◽  
Author(s):  
Luca Vigo ◽  
Leonardo Taroni ◽  
Federico Bernabei ◽  
Marco Pellegrini ◽  
Stefano Sebastiani ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Meibomian Gland ◽  
Response To Treatment ◽  
Meibomian Gland Dysfunction ◽  
Pulsed Light ◽  
Lipid Layer ◽  
Non Invasive ◽  
Lower Baseline ◽  
Ocular Discomfort ◽  
Break Up

The purpose of the present study was to evaluate changes of signs and symptoms in patients with meibomian gland dysfunction (MGD) treated with intense regulated pulsed light (IRPL), and to further investigate which parameter could predict positive outcomes of the procedure. Twenty-eight patients who bilaterally received three IRPL sessions at day 1, 15, and 45 satisfied the criteria and were included in the study. Non-invasive break-up time (NIBUT), lipid layer thickness (LLT), meibography, tear osmolarity, and ocular discomfort symptoms were measured before and 30 days after the last IRPL session. Qualified or complete success was defined in the presence of an improvement of symptoms associated with an increase of NIBUT (< or ≥ 20%). After IRPL treatment, median NIBUT and LLT increased from 7.5 to 10.2 s and 2.0 to 3.0, respectively (p <0.001); tear osmolarity decreased from 304.0 to 301.0 mOsm/L (p = 0.002). Subjective symptoms improved after IRPL in 26 patients. Qualified success was reached in 34 eyes, while complete success in 16 eyes. Patients with lower baseline break-up time (BUT) values showed better response to treatment (p = 0.04). In conclusion, IRPL improved signs and symptoms in MGD patients, while lower baseline NIBUT values were predictive of better response to IRPL.

scholarly journals Image-based quantitative analysis of tear film lipid layer thickness for meibomian gland evaluation

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Hyeonha Hwang ◽  
Hee-Jae Jeon ◽  
Kin Choong Yow ◽  
Ho Sik Hwang ◽  
EuiHeon Chung
Keyword(s):  
Quantitative Analysis ◽  
Layer Thickness ◽  
Tear Film ◽  
Meibomian Gland ◽  
Lipid Layer
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