Ultrasound care for the meibomian glands dysfunction
Purpose: To evaluate the effectiveness the ultrasound procedures of the eyelids in the meibomian glands dysfunction care. Methods: 76 patients (152 eyes) with meibomian glands dysfunction (MGD) were studied. Schirmer and Norn tests, subjective and objective scale gradation were used. The control group was employed the hot compresses with infusum florum Calendulae, eye lid cream Teagel, sodium hyaluronate (Oxial, Santen), eye drops Systain balance. Demazol cream and Ocomistin eye drops were added in demodex blepharitis. Study patients were added ultrasound therapy to the eyelids skin surface. It was used the ultrasound frequencies above 2500 Hz, power impact 0.2-0.4 W/cm 2 for labile procedure daily for 5-7 minutes. As a contact medium used creamTeagel. Results: The ultrasound procedures reached to quickly remission up to 3-7 days (an average of 4.82±0.12 days). It was marked a decrease the subjective complaints and the MGD symptoms. The Schirmer and Norn tests, tear film quality were stability in the first days. The number of functioning meibomian glands increased up to 16.4±1.2 (in control to 6.2±0.2). Conclusion: The ultrasound carried out over the entire surface of the upper and lower eyelids, a cure for the function of meibomian glands, allows the formation of a complete tear film on the eye surface, reduction and long-term remission the dry eye.