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Blepharitis surgery

Introduction

Overview

Overview

Surgical intervention is not the first-line treatment option for patients with blepharitis. Surgery is usually reserved for patients with complications, such as chalazion, entropion, ectropion, or horizontal eyelid laxity.[1][2]

Surgery

Surgery

Surgery is not the firstΒ­line treatment option for patients with blepharitis. Surgery is usually reserved for patients with complications, such as chalazion, entropion, ectropion, or horizontal eyelid laxity.[1][2]

Intraductal Meibomian Gland Probing

Invasive orifice penetration and intraductal probing is usually reserved for patients with severe posterior blepharitis and meibomian gland dysfunction.[3]

Thermal Pulsation

Thermal pulsation (LipiFlow) is performed by simultaneously applying heat and pressure on the eyelids to express the meimobian glands. Unlike the traditional approaches (e.g., warm compresses, lid massage, and manual expression), thermal pulsation is associated with minimal heat transfer and direct expression pressure to the eyeball. A recent study on thermal pulsation demonstrated significant improvement in signs and symptoms of meibomian gland dysfunction.[4]

References

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. PMCΒ 3772773. PMIDΒ 24043929.
  2. ↑ 2.0 2.1 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. PMCΒ 3072163. PMIDΒ 21450919.
  3. ↑ Maskin SL (2010). “Intraductal meibomian gland probing relieves symptoms of obstructive meibomian gland dysfunction”. Cornea. 29 (10): 1145–52. doi:10.1097/ICO.0b013e3181d836f3. PMIDΒ 20622668.
  4. ↑ 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. PMIDΒ 22222996.

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