Abstract

Objectives: To evaluate the efficacy of thermo mechanical pulsations in the management of meibomian gland dysfunction.

Materials and Methods: Fifty-two adult patients of dry eye clinic at Elite Hospital Riyadh, Saudi Arabia with established diagnosis of meibomian gland dysfunction were recruited between September 2016 and January 2018. All patients had a detailed past ocular and systemic history and full ophthalmological examination. If one eye was eligible for treatment this eye would be selected for Li pi Flow treatment and if both eyes were eligible, one eye was randomized to receive the thermal pulsation (Li pi Flow) treatment while continuing the usual treatment of lid hygiene, lubricant eye drops in the other eye.

Results: From the 52 patients who were eligible for the treatment at least in one eye 31 (59.6%) were females while only 21 (40.4%) were males; with mean ±standard deviation (SD) age 49.9 ± 6.0 range 39 to 61 years. The mean ± SD preoperative SPEED score was 11.4 ± 1.5 and showed reduction in the first postoperative assessment (2 weeks) to 9.2 ± 1.4 (p < 0.001). In control group: the mean ± SD SPEED score was 13.2 ± 3.7, with first postoperative mean ± SD of SPEED score being slightly higher 14.5 ± 3.8, which did not reach statistical significance. (p = 0.065).

Conclusion: There exists a significant subjective improvement noted by SPEED score as well as significant drop of frequency of lubricant eye drop needed to be used to alleviate the dry eye symptoms.

Keywords:Meibomian Gland Dysfunction; Dry Eyes; Li pi flow Thermal Pulsation; Saudi Arabia

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Citation

Citation: Mohammed Abdelmaaboud Radwan., et al. “Efficacy of Thermo Mechanical Pulsations in Management of Meibomien Gland Dysfunction: A Comparative Study”.Acta Scientific Ophthalmology 3.2 (2020): 12-19.

Copyright

Copyright: © 2020 Mohammed Abdelmaaboud Radwan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.