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Indian Journal of Clinical and Experimental Ophthalmology


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


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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).

Doi : 10.18231/2395-1451.2019.0018

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

Copyright © 2019 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)