MEIBOMIAN THERAPY IN PROBLEMATIC CONTACT-LENS WEAR

被引：49
作者：
PAUGH, JR
KNAPP, LL
MARTINSON, JR
HOM, MM
机构：
[1] Allergan Optical, Irvine, CA
[2] Oxnard, CA
[3] Minot, ND
[4] Southern California College of Optometry, Fullerton, CA
来源：
OPTOMETRY AND VISION SCIENCE | 1990年 / 67卷 / 11期
关键词：
Contact lens intolerance; Meibomian gland dysfunction; Meibomian therapy; Tear film breakup time;
D O I：
10.1097/00006324-199011000-00002
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Utilizing the principal diagnostic criterion of an absent or cloudy Meibomian gland secretion upon repeated expression, patients with Meibomian gland dysfunction (MGD) were selected to participate in a study of the efficacy of lid scrubs and massage in the treatment of MGD. Twenty-one patients with contact lens intolerance unrelated to lens, care system, or health factors were randomly assigned to treatment of one eye with common clinical therapy for MGD. After 2 weeks of treatment, gland expression, biomicroscopy, staining, comfort, and fluorescein breakup time were assessed in a masked manner. Analyzed using a paired-data t-test, the results indicated a significant increase in mean tear film breakup time (BUT) in the treated eye at followup compared to baseline (mean increase=4.0 s, p=0.0001). The control eye demonstrated no significant change (mean increase=0.2 s, p=0.5955). These objective results were corroborated by reports of improved subjective comfort with contact lens wear after therapy. © 1990 American Academy of Optometry.
引用
收藏
页码：803 / 806
页数：4
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