Skip to main content
Erschienen in: Japanese Journal of Ophthalmology 1/2017

03.10.2016 | Clinical Investigation

Eyelid cleansing with ointment for obstructive meibomian gland dysfunction

verfasst von: Minako Kaido, Osama M. A. Ibrahim, Motoko Kawashima, Reiko Ishida, Enrique A. Sato, Kazuo Tsubota

Erschienen in: Japanese Journal of Ophthalmology | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

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.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Mishima S, Maurice DM. The oily layer of the tear film and evaporation from the corneal surface. Exp Eye Res. 1961;1:39–45.CrossRefPubMed Mishima S, Maurice DM. The oily layer of the tear film and evaporation from the corneal surface. Exp Eye Res. 1961;1:39–45.CrossRefPubMed
2.
3.
Zurück zum Zitat Bron AJ, Tiffany JM. The contribution of meibomian disease to dry eye. Ocul Surf. 2004;2:149–65.CrossRefPubMed Bron AJ, Tiffany JM. The contribution of meibomian disease to dry eye. Ocul Surf. 2004;2:149–65.CrossRefPubMed
4.
Zurück zum Zitat Knop N, Knop E. Meibomian glands. Part I: anatomy, embryology and histology of the Meibomian glands. Ophthalmologe. 2009;106:872–83.CrossRefPubMed Knop N, Knop E. Meibomian glands. Part I: anatomy, embryology and histology of the Meibomian glands. Ophthalmologe. 2009;106:872–83.CrossRefPubMed
5.
Zurück zum Zitat Knop E, Knop N, Schirra F. Meibomian glands. Part II: physiology, characteristics, distribution and function of meibomian oil. Ophthalmologe. 2009;106:884–92.CrossRefPubMed Knop E, Knop N, Schirra F. Meibomian glands. Part II: physiology, characteristics, distribution and function of meibomian oil. Ophthalmologe. 2009;106:884–92.CrossRefPubMed
6.
Zurück zum Zitat Nichols KK, Redfern RL, Jacob JT, Nelson JD, Fonn D, Forstot SL et al. The TFOS International Workshop on Contact Lens Discomfort: Report of the Definition and Classification Subcommittee. Invest Ophthalmol Vis Sci 2013;54:TFOS14-9. Nichols KK, Redfern RL, Jacob JT, Nelson JD, Fonn D, Forstot SL et al. The TFOS International Workshop on Contact Lens Discomfort: Report of the Definition and Classification Subcommittee. Invest Ophthalmol Vis Sci 2013;54:TFOS14-9.
7.
Zurück zum Zitat Goto E, Endo K, Suzuki A, Fujikura Y, Matsumoto Y, Tsubota K. Tear evaporation dynamics in normal subjects and subjects with obstructive meibomian gland dysfunction. Invest Ophthalmol Vis Sci. 2003;44:533–9.CrossRefPubMed Goto E, Endo K, Suzuki A, Fujikura Y, Matsumoto Y, Tsubota K. Tear evaporation dynamics in normal subjects and subjects with obstructive meibomian gland dysfunction. Invest Ophthalmol Vis Sci. 2003;44:533–9.CrossRefPubMed
8.
Zurück zum Zitat McCulley JP, Shine WE. Meibomian gland function and the tear lipid layer. Ocul Surf. 2003;1:97–106.CrossRefPubMed McCulley JP, Shine WE. Meibomian gland function and the tear lipid layer. Ocul Surf. 2003;1:97–106.CrossRefPubMed
9.
Zurück zum Zitat Mathers WD. Ocular evaporation in meibomian gland dysfunction and dry eye. Ophthalmology. 1993;100:347–51.CrossRefPubMed Mathers WD. Ocular evaporation in meibomian gland dysfunction and dry eye. Ophthalmology. 1993;100:347–51.CrossRefPubMed
10.
Zurück zum Zitat Lemp MA. Report of the National Eye Institute/Industry workshop on Clinical Trials in Dry Eyes. CLAO J. 1995;21:221–32.PubMed Lemp MA. Report of the National Eye Institute/Industry workshop on Clinical Trials in Dry Eyes. CLAO J. 1995;21:221–32.PubMed
11.
Zurück zum Zitat Shimazaki J, Sakata M, Tsubota K. Ocular surface changes and discomfort in patients with meibomian gland dysfunction. Arch Ophthalmol. 1995;113:1266–70.CrossRefPubMed Shimazaki J, Sakata M, Tsubota K. Ocular surface changes and discomfort in patients with meibomian gland dysfunction. Arch Ophthalmol. 1995;113:1266–70.CrossRefPubMed
12.
Zurück zum Zitat Lee SH, Tseng SC. Rose bengal staining and cytologic characteristics associated with lipid tear deficiency. Am J Ophthalmol. 1997;124:736–50.CrossRefPubMed Lee SH, Tseng SC. Rose bengal staining and cytologic characteristics associated with lipid tear deficiency. Am J Ophthalmol. 1997;124:736–50.CrossRefPubMed
13.
Zurück zum Zitat Schein OD, Munoz B, Tielsch JM, Bandeen-Roche K, West S. Prevalence of dry eye among the elderly. Am J Ophthalmol. 1997;124:723–8.CrossRefPubMed Schein OD, Munoz B, Tielsch JM, Bandeen-Roche K, West S. Prevalence of dry eye among the elderly. Am J Ophthalmol. 1997;124:723–8.CrossRefPubMed
14.
Zurück zum Zitat Lekhanont K, Rojanaporn D, Chuck RS, Vongthongsri A. Prevalence of dry eye in Bangkok. Thailand. Cornea. 2006;25:1162–7.CrossRefPubMed Lekhanont K, Rojanaporn D, Chuck RS, Vongthongsri A. Prevalence of dry eye in Bangkok. Thailand. Cornea. 2006;25:1162–7.CrossRefPubMed
15.
Zurück zum Zitat Lin PY, Tsai SY, Cheng CY, Liu JH, Chou P, Hsu WM. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology. 2003;110:1096–101.CrossRefPubMed Lin PY, Tsai SY, Cheng CY, Liu JH, Chou P, Hsu WM. Prevalence of dry eye among an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology. 2003;110:1096–101.CrossRefPubMed
16.
Zurück zum Zitat Uchino M, Dogru M, Yagi Y, Goto E, Tomita M, Kon T, et al. The features of dry eye disease in a Japanese elderly population. Optom Vis Sci. 2006;83:797–802.CrossRefPubMed Uchino M, Dogru M, Yagi Y, Goto E, Tomita M, Kon T, et al. The features of dry eye disease in a Japanese elderly population. Optom Vis Sci. 2006;83:797–802.CrossRefPubMed
17.
Zurück zum Zitat Jie Y, Xu L, Wu YY, Jonas JB. Prevalence of dry eye among adult Chinese in the Beijing Eye Study. Eye (Lond). 2009;23:688–93.CrossRef Jie Y, Xu L, Wu YY, Jonas JB. Prevalence of dry eye among adult Chinese in the Beijing Eye Study. Eye (Lond). 2009;23:688–93.CrossRef
18.
Zurück zum Zitat McCarty CA, Bansal AK, Livingston PM, Stanislavsky YL, Taylor HR. The epidemiology of dry eye in Melbourne. Australia. Ophthalmology. 1998;105:1114–9.CrossRefPubMed McCarty CA, Bansal AK, Livingston PM, Stanislavsky YL, Taylor HR. The epidemiology of dry eye in Melbourne. Australia. Ophthalmology. 1998;105:1114–9.CrossRefPubMed
19.
Zurück zum Zitat Horwath-Winter J, Berghold A, Schmut O, Floegel I, Solhdju V, Bodner E, et al. Evaluation of the clinical course of dry eye syndrome. Arch Ophthalmol. 2003;121:1364–8.CrossRefPubMed Horwath-Winter J, Berghold A, Schmut O, Floegel I, Solhdju V, Bodner E, et al. Evaluation of the clinical course of dry eye syndrome. Arch Ophthalmol. 2003;121:1364–8.CrossRefPubMed
20.
Zurück zum Zitat Hom MM, Martinson JR, Knapp LL, Paugh JR. Prevalence of Meibomian gland dysfunction. Optom Vis Sci. 1990;67:710–2.CrossRefPubMed Hom MM, Martinson JR, Knapp LL, Paugh JR. Prevalence of Meibomian gland dysfunction. Optom Vis Sci. 1990;67:710–2.CrossRefPubMed
21.
Zurück zum Zitat Mathers WD, Shields WJ, Sachdev MS, Petroll WM, Jester JV. Meibomian gland dysfunction in chronic blepharitis. Cornea. 1991;10:277–85.CrossRefPubMed Mathers WD, Shields WJ, Sachdev MS, Petroll WM, Jester JV. Meibomian gland dysfunction in chronic blepharitis. Cornea. 1991;10:277–85.CrossRefPubMed
22.
Zurück zum Zitat Mathers WD, Lane JA. Meibomian gland lipids, evaporation, and tear film stability. Adv Exp Med Biol. 1998;438:349–60.CrossRefPubMed Mathers WD, Lane JA. Meibomian gland lipids, evaporation, and tear film stability. Adv Exp Med Biol. 1998;438:349–60.CrossRefPubMed
23.
Zurück zum Zitat Key JE. A comparative study of eyelid cleaning regimens in chronic blepharitis. CLAO J. 1996;22:209–12.PubMed Key JE. A comparative study of eyelid cleaning regimens in chronic blepharitis. CLAO J. 1996;22:209–12.PubMed
24.
Zurück zum Zitat Smith RE, Flowers CW Jr. Chronic blepharatis: a review. CLAO J. 1995;21:200–7.PubMed Smith RE, Flowers CW Jr. Chronic blepharatis: a review. CLAO J. 1995;21:200–7.PubMed
25.
26.
Zurück zum Zitat Ibrahim OM, Matsumoto Y, Dogru M, Adan ES, Wakamatsu TH, Goto T, et al. The efficacy, sensitivity, and specificity of in vivo laser confocal microscopy in the diagnosis of meibomian gland dysfunction. Ophthalmology. 2010;117:665–72.CrossRefPubMed Ibrahim OM, Matsumoto Y, Dogru M, Adan ES, Wakamatsu TH, Goto T, et al. The efficacy, sensitivity, and specificity of in vivo laser confocal microscopy in the diagnosis of meibomian gland dysfunction. Ophthalmology. 2010;117:665–72.CrossRefPubMed
27.
Zurück zum Zitat Korb DR, Henriquez AS. Meibomian Gland Dysfunction and Contact Lens Intolerance. J Am Optom Assoc., 1980;243–51. Korb DR, Henriquez AS. Meibomian Gland Dysfunction and Contact Lens Intolerance. J Am Optom Assoc., 1980;243–51.
28.
Zurück zum Zitat Knop E, Knop N, Brewitt H, Pleyer U, Rieck P, Seitz B, et al. Meibomian Glands: Part III—Dysfunction—Argument for a Discrete Disease Entity and as an Important Cause of Dry Eye. Ophthalmologe 2009; 966–79 (in German). Knop E, Knop N, Brewitt H, Pleyer U, Rieck P, Seitz B, et al. Meibomian Glands: Part III—Dysfunction—Argument for a Discrete Disease Entity and as an Important Cause of Dry Eye. Ophthalmologe 2009; 966–79 (in German).
29.
Zurück zum Zitat Knop E, Knop N. Meibomian Glands: Part IV—Functional Interactions in the Pathogenesis of Meibomian Gland Dysfunction (MGD). Ophthalmologe, 2009, 980–7 (in German). Knop E, Knop N. Meibomian Glands: Part IV—Functional Interactions in the Pathogenesis of Meibomian Gland Dysfunction (MGD). Ophthalmologe, 2009, 980–7 (in German).
30.
Zurück zum Zitat Goto E, Dogru M, Fukagawa K, Uchino M, Matsumoto Y, Saiki M, et al. Successful tear lipid layer treatment for refractory dry eye in office workers by low-dose lipid application on the full-length eyelid margin. Am J Ophthalmol. 2006;142:264–70.CrossRefPubMed Goto E, Dogru M, Fukagawa K, Uchino M, Matsumoto Y, Saiki M, et al. Successful tear lipid layer treatment for refractory dry eye in office workers by low-dose lipid application on the full-length eyelid margin. Am J Ophthalmol. 2006;142:264–70.CrossRefPubMed
31.
Zurück zum Zitat Matsumoto Y, Sato EA, Ibrahim OM, Dogru M, Tsubota K. The application of in vivo laser confocal microscopy to the diagnosis and evaluation of meibomian gland dysfunction. Mol Vis. 2008;14:1263–71.PubMedPubMedCentral Matsumoto Y, Sato EA, Ibrahim OM, Dogru M, Tsubota K. The application of in vivo laser confocal microscopy to the diagnosis and evaluation of meibomian gland dysfunction. Mol Vis. 2008;14:1263–71.PubMedPubMedCentral
32.
Zurück zum Zitat Villani E, Beretta S, De Capitani M, Galimberti D, Viola F, Ratiglia R. In vivo confocal microscopy of meibomian glands in Sjögren’s syndrome. Invest Ophthalmol Vis Sci. 2011;16(52):933–9.CrossRef Villani E, Beretta S, De Capitani M, Galimberti D, Viola F, Ratiglia R. In vivo confocal microscopy of meibomian glands in Sjögren’s syndrome. Invest Ophthalmol Vis Sci. 2011;16(52):933–9.CrossRef
33.
Zurück zum Zitat Ibrahim OM, Matsumoto Y, Dogru M, Adan ES, Wakamatsu TH, Shimazaki J. et al. In vivo confocal microscopy evaluation of meibomian gland dysfunction in atopic-keratoconjunctivitis patients. Ophthalmology 2012;119:1961-8. Ibrahim OM, Matsumoto Y, Dogru M, Adan ES, Wakamatsu TH, Shimazaki J. et al. In vivo confocal microscopy evaluation of meibomian gland dysfunction in atopic-keratoconjunctivitis patients. Ophthalmology 2012;119:1961-8.
34.
Zurück zum Zitat Norn M. Expressibility of meibomian secretion. Relation to age, lipid precorneal film, scales, foam, hair and pigmentation. Acta Ophthalmol (Copenh) 1987;65:137–42. Norn M. Expressibility of meibomian secretion. Relation to age, lipid precorneal film, scales, foam, hair and pigmentation. Acta Ophthalmol (Copenh) 1987;65:137–42.
35.
Zurück zum Zitat Korb DR, Blackie CA. Meibomian gland diagnostic expressibility: correlation with dry eye symptoms and gland location. Cornea. 2008;27:1142–7.CrossRefPubMed Korb DR, Blackie CA. Meibomian gland diagnostic expressibility: correlation with dry eye symptoms and gland location. Cornea. 2008;27:1142–7.CrossRefPubMed
36.
Zurück zum Zitat Olson MC, Korb DR, Greiner JV. Increase in tear film lipid layer thickness following treatment with warm compresses in patients with meibomian gland dysfunction. Eye Contact Lens. 2003;29:96–9.CrossRefPubMed Olson MC, Korb DR, Greiner JV. Increase in tear film lipid layer thickness following treatment with warm compresses in patients with meibomian gland dysfunction. Eye Contact Lens. 2003;29:96–9.CrossRefPubMed
37.
Zurück zum Zitat Nagymihalyi A, Dikstein S, Tiffany JM. The influence of eyelid temperature on the delivery of meibomian oil. Exp Eye Res. 2004;78:367–70.CrossRefPubMed Nagymihalyi A, Dikstein S, Tiffany JM. The influence of eyelid temperature on the delivery of meibomian oil. Exp Eye Res. 2004;78:367–70.CrossRefPubMed
38.
Zurück zum Zitat Romero JM, Biser SA, Perry HD, Levinson DH, Doshi SJ, Terraciano A, et al. Conservative treatment of meibomian gland dysfunction. Eye Contact Lens. 2004;30:14–9.CrossRefPubMed Romero JM, Biser SA, Perry HD, Levinson DH, Doshi SJ, Terraciano A, et al. Conservative treatment of meibomian gland dysfunction. Eye Contact Lens. 2004;30:14–9.CrossRefPubMed
39.
Zurück zum Zitat Key JE. A comparative study of eyelid cleaning regimens in chronic blepharitis. CLAO J. 1996;22:209–12.PubMed Key JE. A comparative study of eyelid cleaning regimens in chronic blepharitis. CLAO J. 1996;22:209–12.PubMed
40.
Zurück zum Zitat Maskin SL. Intraductal meibomian gland probing relieves symptoms of obstructive meibomian gland dysfunction. Cornea. 2010;29:1145–52.CrossRefPubMed Maskin SL. Intraductal meibomian gland probing relieves symptoms of obstructive meibomian gland dysfunction. Cornea. 2010;29:1145–52.CrossRefPubMed
Metadaten
Titel
Eyelid cleansing with ointment for obstructive meibomian gland dysfunction
verfasst von
Minako Kaido
Osama M. A. Ibrahim
Motoko Kawashima
Reiko Ishida
Enrique A. Sato
Kazuo Tsubota
Publikationsdatum
03.10.2016
Verlag
Springer Japan
Erschienen in
Japanese Journal of Ophthalmology / Ausgabe 1/2017
Print ISSN: 0021-5155
Elektronische ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-016-0477-6

Weitere Artikel der Ausgabe 1/2017

Japanese Journal of Ophthalmology 1/2017 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Ophthalmika in der Schwangerschaft

Die Verwendung von Ophthalmika in der Schwangerschaft und Stillzeit stellt immer eine Off-label-Anwendung dar. Ein Einsatz von Arzneimitteln muss daher besonders sorgfältig auf sein Risiko-Nutzen-Verhältnis bewertet werden. In der vorliegenden …

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Vitrektomie Originalie

Die endogene Endophthalmitis ist eine hämatogen fortgeleitete, bakterielle oder fungale Infektion, die über choroidale oder retinale Gefäße in den Augapfel eingeschwemmt wird [ 1 – 3 ]. Von dort infiltrieren die Keime in die Netzhaut, den …

Bakterielle endogene Endophthalmitis

Vitrektomie Leitthema

Eine endogene Endophthalmitis stellt einen ophthalmologischen Notfall dar, der umgehender Diagnostik und Therapie bedarf. Es sollte mit geeigneten Methoden, wie beispielsweise dem Freiburger Endophthalmitis-Set, ein Keimnachweis erfolgen. Bei der …

So erreichen Sie eine bestmögliche Wundheilung der Kornea

Die bestmögliche Wundheilung der Kornea, insbesondere ohne die Ausbildung von lichtstreuenden Narben, ist oberstes Gebot, um einer dauerhaften Schädigung der Hornhaut frühzeitig entgegenzuwirken und die Funktion des Auges zu erhalten.   

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.