The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial

Ngamjit Kasetsuwan, Disorn Suwajanakorn, Chitchanok Tantipat, Usanee Reinprayoon Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandCorrespondence: Chitchanok TantipatDepartment of Ophthalmology, Faculty of Medi...

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Autores principales:	Kasetsuwan N, Suwajanakorn D, Tantipat C, Reinprayoon U
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	meibomian gland dysfunction anti-glaucoma medications lipiflow® thermal pulsatile system lid hygiene Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ee606f0c9dc3452d9c87d8e3302d4cf1
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spelling	oai:doaj.org-article:ee606f0c9dc3452d9c87d8e3302d4cf12021-12-02T10:41:45ZThe Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial1177-5483https://doaj.org/article/ee606f0c9dc3452d9c87d8e3302d4cf12020-09-01T00:00:00Zhttps://www.dovepress.com/the-efficacy-between-conventional-lid-hygiene-and-additional-thermal-p-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ngamjit Kasetsuwan, Disorn Suwajanakorn, Chitchanok Tantipat, Usanee Reinprayoon Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandCorrespondence: Chitchanok TantipatDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandTel +66-86-111-8524Fax +66-2-252-8290Email chitchanok.tob88@gmail.comPurpose: To evaluate the efficacy of additional thermal pulsatile system compared to standard lid hygiene alone in meibomian gland dysfunction (MGD) patients who are using long-term anti-glaucoma medications.Patients and Methods: Well-controlled glaucoma patients who used anti-glaucoma medications for at least 1 year and had MGD were enrolled and randomized between a study group who received thermal pulsatile system (Lipiflow®) treatment and standard lid hygiene, and a control group who received standard lid hygiene alone. The primary outcome was meibomian gland expression score, and the secondary outcomes were the Ocular Surface Disease Index (OSDI) score, Schirmer test score, tear break-up time (TBUT), corneal staining score, lipid layer thickness (LLT), and meibography score. All the outcomes were re-evaluated at 1 week, then at 1, 3, and 6 months after treatment.Results: Of 60 participants who underwent randomization, 48 completed the study. At the 6-month mark, this study could not demonstrate any significant difference between groups in both primary and secondary outcomes. However, there was significant improvement from baseline in both groups of the following outcomes: meibomian gland expression score, OSDI score, LLT, and meibography score. No serious adverse event was found in this study.Conclusion: An additional single thermal pulsatile system treatment with standard lid hygiene significantly improved meibomian gland assessment score and subjective symptoms at 6 months. Any difference between additional thermal pulsatile system treatment and lid hygiene alone was not found in this study. The results may suggest more chronic MGD and more damaged meibomian gland induced by long-term anti-glaucoma medications.Keywords: meibomian gland dysfunction, anti-glaucoma medications, Lipiflow®, thermal pulsatile system, lid hygieneKasetsuwan NSuwajanakorn DTantipat CReinprayoon UDove Medical Pressarticlemeibomian gland dysfunctionanti-glaucoma medicationslipiflow®thermal pulsatile systemlid hygieneOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2891-2902 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	meibomian gland dysfunction anti-glaucoma medications lipiflow® thermal pulsatile system lid hygiene Ophthalmology RE1-994
spellingShingle	meibomian gland dysfunction anti-glaucoma medications lipiflow® thermal pulsatile system lid hygiene Ophthalmology RE1-994 Kasetsuwan N Suwajanakorn D Tantipat C Reinprayoon U The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
description	Ngamjit Kasetsuwan, Disorn Suwajanakorn, Chitchanok Tantipat, Usanee Reinprayoon Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandCorrespondence: Chitchanok TantipatDepartment of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok 10330, ThailandTel +66-86-111-8524Fax +66-2-252-8290Email chitchanok.tob88@gmail.comPurpose: To evaluate the efficacy of additional thermal pulsatile system compared to standard lid hygiene alone in meibomian gland dysfunction (MGD) patients who are using long-term anti-glaucoma medications.Patients and Methods: Well-controlled glaucoma patients who used anti-glaucoma medications for at least 1 year and had MGD were enrolled and randomized between a study group who received thermal pulsatile system (Lipiflow®) treatment and standard lid hygiene, and a control group who received standard lid hygiene alone. The primary outcome was meibomian gland expression score, and the secondary outcomes were the Ocular Surface Disease Index (OSDI) score, Schirmer test score, tear break-up time (TBUT), corneal staining score, lipid layer thickness (LLT), and meibography score. All the outcomes were re-evaluated at 1 week, then at 1, 3, and 6 months after treatment.Results: Of 60 participants who underwent randomization, 48 completed the study. At the 6-month mark, this study could not demonstrate any significant difference between groups in both primary and secondary outcomes. However, there was significant improvement from baseline in both groups of the following outcomes: meibomian gland expression score, OSDI score, LLT, and meibography score. No serious adverse event was found in this study.Conclusion: An additional single thermal pulsatile system treatment with standard lid hygiene significantly improved meibomian gland assessment score and subjective symptoms at 6 months. Any difference between additional thermal pulsatile system treatment and lid hygiene alone was not found in this study. The results may suggest more chronic MGD and more damaged meibomian gland induced by long-term anti-glaucoma medications.Keywords: meibomian gland dysfunction, anti-glaucoma medications, Lipiflow®, thermal pulsatile system, lid hygiene
format	article
author	Kasetsuwan N Suwajanakorn D Tantipat C Reinprayoon U
author_facet	Kasetsuwan N Suwajanakorn D Tantipat C Reinprayoon U
author_sort	Kasetsuwan N
title	The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
title_short	The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
title_full	The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
title_fullStr	The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
title_full_unstemmed	The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial
title_sort	efficacy between conventional lid hygiene and additional thermal pulsatile system in meibomian gland dysfunction patients treated with long-term anti-glaucoma medications in a randomized controlled trial
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/ee606f0c9dc3452d9c87d8e3302d4cf1
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The Efficacy Between Conventional Lid Hygiene and Additional Thermal Pulsatile System in Meibomian Gland Dysfunction Patients Treated with Long-Term Anti-Glaucoma Medications in a Randomized Controlled Trial

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