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Meibomian therapy in problematic contact lens wear
J R Paugh1, L L Knapp, J R Martinson
1Allergan Optical, Irvine, California.
Summary
Lid scrubs and massage significantly improved tear film breakup time and comfort in patients with Meibomian gland dysfunction (MGD), enhancing contact lens wear. This treatment offers effective relief for MGD-related contact lens intolerance.
Area of Science:
- Ophthalmology
- Optometry
- Corneal Science
Background:
- Meibomian gland dysfunction (MGD) is a common cause of contact lens intolerance.
- Diagnosis of MGD relies on assessing Meibomian gland secretion quality.
Purpose of the Study:
- To evaluate the efficacy of lid scrubs and massage in treating Meibomian gland dysfunction (MGD).
- To assess the impact of MGD treatment on contact lens tolerance and ocular comfort.
Main Methods:
- Twenty-one patients with MGD-induced contact lens intolerance were enrolled.
- One eye per patient received standard MGD therapy (lid scrubs and massage) for two weeks.
- Objective measures (gland expression, biomicroscopy, fluorescein breakup time) and subjective comfort were assessed.
Main Results:
- Treated eyes showed a significant increase in tear film breakup time (mean increase of 4.0s, p=0.0001).
- Control eyes exhibited no significant change in tear film breakup time (mean increase of 0.2s, p=0.5955).
- Patients reported improved subjective comfort with contact lens wear after treatment.
Conclusions:
- Lid scrubs and massage are effective treatments for Meibomian gland dysfunction.
- This therapy improves objective measures of ocular surface health and subjective patient comfort.
- The findings support the use of lid scrubs and massage for managing MGD-related contact lens intolerance.