Association of meibomian gland morphology with orifice plugging and lid margin thickening in meibomian gland dysfunction patients

Feng, Jun; Wang, Jingyi; Wu, Binge; Shao, Qiyan; Zang, Yunxiao; Cao, Kai; Tian, Lei; Jin, Ying

doi:10.1007/s10792-023-02721-2

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…MGD may accompanied by specific lid margin signs such as irregular lid margin, vascular engorgement, plugged meibomian gland orifices, and anterior placement of the mucocutaneous junction [ 2 , 3 ], and these lid margin signs are used to diagnose MGD. There are also reports indicating that orifice plugging and lid margin thickening are correlated with the degree of MGD [ 4 ]. Additionally, a report suggested that lid margin thickness served as a strong indicator of age-related MGD [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Intense Pulsed Light Treatments including Upper Lid or Lateral Canthus in Patients of Meibomian Gland Dysfunction

Min,

Jun,

Kim

et al. 2024

JCM

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Background: To determine the differences in the effects of intense pulsed light (IPL) treatment when including the upper and lower lid or lateral canthus area in patients with meibomian gland dysfunction (MGD). Methods: Patients who underwent three IPL treatment sessions at 3-week intervals were divided into three groups according to the treatment sites: group A, lower lid; group B, upper and lower lids; and group C, lower lid and lateral canthal area. Before and after the IPL treatment sessions, we obtained the lid abnormality score (LAS), meibum expressibility (ME), meibum quality (MQ), lipid layer thickness (LLT), type I Schirmer test (ST), tear break-up time (TBUT) test, corneal fluorescein staining scores (CFSs), and Ocular Surface Disease Index (OSDI). Results: IPL treatment significantly improved LASs, ME, MQ, TBUT, CFS, and OSDI values in all groups. Differences in LAS values before and after IPL treatment were significantly greater in groups B and C than those in group A. Conclusions: IPL treatment encompassing the upper lid and lateral canthus together with the lower lid elicited additional improvement in patients with MGD. The additional effect on treating the lateral canthus was similar to the effect observed on the additional treatment of the upper lid.

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