Intraductal meibomian gland probing: background, patient selection, procedure, and perspectives
Autor: | Sreevardhan Alluri, Steven L Maskin |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
business.industry Meibomian gland dysfunction Conventional treatment Meibomian gland Signs and symptoms Dermatology 03 medical and health sciences Ophthalmology 0302 clinical medicine medicine.anatomical_structure Periductal fibrosis 030221 ophthalmology & optometry medicine business 030217 neurology & neurosurgery |
Zdroj: | Clinical Ophthalmology. 13:1203-1223 |
ISSN: | 1177-5483 |
DOI: | 10.2147/opth.s183174 |
Popis: | Obstructive meibomian gland dysfunction is the most common cause of dry eye. Its conventional treatment has focused on using heat and pressure with anti-inflammatory and antimicrobial therapies but has often been a frequent, frustrating experience for patient and physician. New evidence from Meibomian gland intraductal probing suggests fixed intraductal strictures and obstruction correlating to periductal fibrosis first described in 1997. The use of intraductal probing has been reported, by this author and in at least ten independent peer-reviewed academic papers from around the world, to consistently lead to statistically significant improvement in signs and symptoms of gland dysfunction including cases refractory to other extensive treatments. This review will focus on the background of meibomian gland intraductal probing as well as patient selection, procedure, and perspectives. |
Databáze: | OpenAIRE |
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