scholarly journals Meibomian Gland Dysfunction: Intense Pulsed Light Therapy in Combination with Low-Level Light Therapy as Rescue Treatment

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 619
Author(s):  
Leonidas Solomos ◽  
Walid Bouthour ◽  
Ariane Malclès ◽  
Gabriele Thumann ◽  
Horace Massa

Background and Objectives: Evaporative dry eye disease is frequently associated with meibomian gland dysfunction. Patients are often unhappy because of daily drops, care burden, and suboptimal conventional treatments. In this study, we assessed the efficacy of a novel device, the Eye-light®, a combination of intense pulsed light therapy and low-level light therapy, as a novel treatment for meibomian gland dysfunction and dry eye disease. Materials and Methods: This was a retrospective, single-center study carried out over a 6-week period, in which 22 eyes from 11 patients were included. Each patient received four combined light therapy treatment sessions, once weekly over 4 weeks. Patients underwent a clinical examination and filled out a standardized questionnaire to evaluate symptoms one week prior to treatment, and one week after the fourth session. Results: Combined light therapy improved several ocular surface outcome measures in our patients. This study demonstrates that this adjunctive treatment significantly improves the ocular surface and quality of life of patients with dry eye disease and meibomian gland dysfunction. Conclusions: Combined light therapy may be included in meibomian gland dysfunction treatment protocols as an adjunctive rescue treatment.

2021 ◽  
Vol Volume 15 ◽  
pp. 3983-3991
Author(s):  
Fahmeeda Murtaza ◽  
Dana Toameh ◽  
Saed Al-Habib ◽  
Raj Maini ◽  
Hannah H Chiu ◽  
...  

2019 ◽  
Vol 35 (1) ◽  
Author(s):  
Sameera Irfan

Dry eyes is a common, chronic condition that has a prevalence of about 5- 50%.1 According to the Dry Eye Workshop II report (DEWS II report), published in 2017, the updated definition of Dry Eye Disease is, “a multifactorial disease of the ocular surface characterised by a loss of homeostasis of the tear film, and accompanied by ocular symptoms, in which tear film instability and hyper-osmolarity, ocular surface inflammation and damage, and neurosensory abnormalities play etiological roles.” The Tear Film & Ocular Surface Society (TFOS) released their report on the international work on Meibomian Gland Dysfunction (MGD)2 in 2011, which defined MGD, classified it and considered it as the primary cause of dry eye disease worldwide. Previously dry eye disease was considered as an aqueous deficiency problem, but after this report by TFOS, there is a paradigm shift towards “not producing enough lipids to retain the tears that are being produced”. This has led to a huge impact on the treatment protocols which were previously focused on managing the sequelae and symptoms of dry eyes rather than targeting directly on the underlying cause, the MGD. It has now been accepted worldwide that dry eye occurs when the ocular surface system cannot adequately protect itself from the desiccating stress due to the lack of a healthy meibomian gland secretion. This article is mainly focussed on the Meibomian Gland Dysfunction, discussing the normal anatomy of the glands, how they are affected by disease, its implications on the ocular surface and finally, the various treatment strategies. Key words: Blepharitis, Dry eyes, Meibomian gland dysfunction, blepharospasm.


2020 ◽  
Vol 40 (5) ◽  
pp. 1135-1141
Author(s):  
Serap Yurttaser Ocak ◽  
Sezen Karakus ◽  
Osman Bulut Ocak ◽  
Akın Cakir ◽  
Selim Bolukbasi ◽  
...  

2020 ◽  
Vol 55 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Raman-Deep Singh Sambhi ◽  
Gagan Deep Singh Sambhi ◽  
Rookaya Mather ◽  
Monali S. Malvankar-Mehta

2020 ◽  
Vol 17 (10) ◽  
pp. 1385-1392
Author(s):  
Abhishek Suwal ◽  
Ji-long Hao ◽  
Dan-dan Zhou ◽  
Xiu-fen Liu ◽  
Raja Suwal ◽  
...  

2016 ◽  
Vol 100 (3) ◽  
pp. 300-306 ◽  
Author(s):  
Christophe Baudouin ◽  
Elisabeth M Messmer ◽  
Pasquale Aragona ◽  
Gerd Geerling ◽  
Yonca A Akova ◽  
...  

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