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Published on: April 1, 2019
Eyelid cleansing with ointment for obstructive meibomian gland dysfunction
Minako Kaido1,2, Osama M A Ibrahim3, Motoko Kawashima3
1Department of Ophthalmology, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo, 160-8582, Japan. fwiw1193@mb.infoweb.ne.jp.
Purpose:
To investigate the efficacy of eyelid margin cleansing with ofloxacin ophthalmic ointment in obstructive meibomian gland dysfunction (MGD) patients.
Methods:
Thirty-one eyes of 31 patients diagnosed with obstructive MGD were enrolled. All subjects were instructed to rub the eyelid edge with ofloxacin eye ointment once daily prior to bathing. Lid margin abnormalities, meibum properties, and tear stability were observed before and 3 months after ointment treatment. A questionnaire relating to the severity of MGD symptoms was administered after the treatment.
Results:
Vascular engorgement, meibum, dandruff-like debris, and fluorescein staining scores significantly decreased after the treatment, whereas tear break-up time significantly increased (p < 0.05). Symptoms related to MGD improved after the treatment in 86.2 % of cases.
Conclusions:
Cleansing treatment ofloxacin ophthalmic ointment at the eyelid margin may be effective for patients with obstructive MGD.
Insights
Ofloxacin ophthalmic ointment effectively cleans eyelid margins for obstructive meibomian gland dysfunction (MGD). This treatment improved MGD symptoms and tear stability in most patients.
Area of Science:
- Ophthalmology
- Ocular Surface Disease
Background:
- Obstructive meibomian gland dysfunction (MGD) is a common condition affecting tear film stability.
- Lid margin hygiene is crucial for managing MGD.
Purpose of the Study:
- To evaluate the efficacy of eyelid margin cleansing using ofloxacin ophthalmic ointment in patients with obstructive MGD.
Main Methods:
- 31 patients with obstructive MGD received daily eyelid margin cleansing with ofloxacin ointment for 3 months.
- Lid margin abnormalities, meibum quality, and tear stability were assessed before and after treatment.
- MGD symptom severity was evaluated using a questionnaire post-treatment.
Main Results:
- Significant reductions in vascular engorgement, abnormal meibum, debris, and staining were observed.
- Tear break-up time significantly improved post-treatment (p < 0.05).
- 86.2% of patients reported improvement in MGD symptoms.
Conclusions:
- Eyelid margin cleansing with ofloxacin ophthalmic ointment shows promise as an effective treatment for obstructive MGD.
- This intervention may help alleviate symptoms and improve ocular surface parameters in MGD patients.
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