Combining IPL with topical RF for dryeye disease related to meibomian gland dysfunction resulted in about a doubling of meibomian gland expression and improved meibum quality in both upper and lower eyelids. ASLMS2023
While some studies have shown IPL is helpful in treating dry eye disease caused by meibomian gland dysfunction, little information is available on its use alone or in combination with topical RF to preserve and improve the function of meibomian glands, said Dr. Chelnis, an ophthalmic plastic surgeon in New York City.
Meibum quality was evaluated on a scale of 0-3 representing clear , cloudy , inspissated , and blocked meibum, respectively. The overall percentage improvement in meibomian gland expression in the right eye was 82.7% for the upper lids and 136.6% for the lower lids, and in the left eye, 82.9% for the upper lids, and 112.2% for the lower lids.
"We are finding that combining IPL plus RF produces a more complete and comprehensive improvement in the quality of their meibomian gland health, and as such, their dry eyes," with"a large decrease in their symptom profile," he concluded.Dr. Chelnis acknowledged certain limitations of the study, including the small number of patients, but he and his colleagues have added an additional clinical site to expand the sample size.
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