Blepharitis surgery: Difference between revisions

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==Overview==
==Overview==
[[Surgical|Surgical intervention]] is not the first-line treatment option for patients with blepharitis.
[[Surgical|Surgical intervention]] is not the first-line treatment option for patients with blepharitis.<ref name="pmid24043929">{{cite journal| author=Qiao J, Yan X| title=Emerging treatment options for meibomian gland dysfunction. | journal=Clin Ophthalmol | year= 2013 | volume= 7 | issue=  | pages= 1797-803 | pmid=24043929 | doi=10.2147/OPTH.S33182 | pmc=3772773 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24043929  }} </ref><ref name="pmid21450919">{{cite journal| author=Geerling G, Tauber J, Baudouin C, Goto E, Matsumoto Y, O'Brien T et al.| title=The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction. | journal=Invest Ophthalmol Vis Sci | year= 2011 | volume= 52 | issue= 4 | pages= 2050-64 | pmid=21450919 | doi=10.1167/iovs.10-6997g | pmc=3072163 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21450919  }} </ref>
<ref name="pmid21450919">{{cite journal| author=Geerling G, Tauber J, Baudouin C, Goto E, Matsumoto Y, O'Brien T et al.| title=The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction. | journal=Invest Ophthalmol Vis Sci | year= 2011 | volume= 52 | issue= 4 | pages= 2050-64 | pmid=21450919 | doi=10.1167/iovs.10-6997g | pmc=3072163 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21450919  }} </ref>
==Surgery==
==Surgery==
Surgical intervention is usually reserved for the patients with complications of the blepharitis, such as chalasis, entropion, ectropion, or horizontal eyelid laxity.
Surgical intervention for blepharitis is usually reserved for the patients with complications, such as [[chalazion]], [[entropion]], [[ectropion]], or horizontal eyelid laxity.<ref name="pmid24043929">{{cite journal| author=Qiao J, Yan X| title=Emerging treatment options for meibomian gland dysfunction. | journal=Clin Ophthalmol | year= 2013 | volume= 7 | issue=  | pages= 1797-803 | pmid=24043929 | doi=10.2147/OPTH.S33182 | pmc=3772773 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24043929  }} </ref>
Surgical options in the treatment of MGD are generally limited to treatment of the complications of the disease, rather than the primary disease. MGD can be associated with pathologic conditions, such as conjunctivochalasis, entropion, ectropion, or horizontal eyelid laxity, which may be treated surgically, and treatment of these conditions can improve control of MGD.
===Lipiflow sysytem===
LipiFlow, thermal pulsation system gave rise to significant improvement in both signs (based on tear break-up time, corneal fluorescein staining) and symptoms (based on Ocular Surface Disease Index and standard patient evaluation of eye dryness scores).<ref name="pmid22222996">{{cite journal| author=Lane SS, DuBiner HB, Epstein RJ, Ernest PH, Greiner JV, Hardten DR et al.| title=A new system, the LipiFlow, for the treatment of meibomian gland dysfunction. | journal=Cornea | year= 2012 | volume= 31 | issue= 4 | pages= 396-404 | pmid=22222996 | doi=10.1097/ICO.0b013e318239aaea | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22222996  }} </ref>


===Intraductal Meibomian Gland Probing===
===Intraductal Meibomian Gland Probing===

Revision as of 18:24, 13 July 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Surgical intervention is not the first-line treatment option for patients with blepharitis.[1][2]

Surgery

Surgical intervention for blepharitis is usually reserved for the patients with complications, such as chalazion, entropion, ectropion, or horizontal eyelid laxity.[1]

Lipiflow sysytem

LipiFlow, thermal pulsation system gave rise to significant improvement in both signs (based on tear break-up time, corneal fluorescein staining) and symptoms (based on Ocular Surface Disease Index and standard patient evaluation of eye dryness scores).[3]

Intraductal Meibomian Gland Probing

Invasive orifice penetration and intraductal probing seems to provide lasting rapid symptom relief for patients with posterior blepharitis with meibomian gland dysfunction (MGD).[4]

References

  1. 1.0 1.1 Qiao J, Yan X (2013). "Emerging treatment options for meibomian gland dysfunction". Clin Ophthalmol. 7: 1797–803. doi:10.2147/OPTH.S33182. PMC 3772773. PMID 24043929.
  2. Geerling G, Tauber J, Baudouin C, Goto E, Matsumoto Y, O'Brien T; et al. (2011). "The international workshop on meibomian gland dysfunction: report of the subcommittee on management and treatment of meibomian gland dysfunction". Invest Ophthalmol Vis Sci. 52 (4): 2050–64. doi:10.1167/iovs.10-6997g. PMC 3072163. PMID 21450919.
  3. Lane SS, DuBiner HB, Epstein RJ, Ernest PH, Greiner JV, Hardten DR; et al. (2012). "A new system, the LipiFlow, for the treatment of meibomian gland dysfunction". Cornea. 31 (4): 396–404. doi:10.1097/ICO.0b013e318239aaea. PMID 22222996.
  4. Maskin SL (2010). "Intraductal meibomian gland probing relieves symptoms of obstructive meibomian gland dysfunction". Cornea. 29 (10): 1145–52. doi:10.1097/ICO.0b013e3181d836f3. PMID 20622668.

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