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The ILux® compared to the mechanical meibomian gland expression for the treatment of moderate and severe meibomian gland dysfunction.
Núñez, María Ximena; Acosta-Ortega, Andrea; Vera-Duarte, Guillermo Raul; Gómez-Duarte, Catalina.
Afiliação
  • Núñez MX; Unit of Cornea, Cataract and Refractive Surgery, Vision Sana Research Group, Clínica de Oftalmología de Cali, Faculty of Medicine Pontificia Universidad Javeriana Cali, Cali 760031, Colombia.
  • Acosta-Ortega A; Department of Ophthalmology, Faculty of Medicine Pontificia Universidad Javeriana Cali, Cali 760031, Colombia.
  • Vera-Duarte GR; Department of Ophthalmology, Hospital de Clínicas, National University of Asunción, Asunción 111421, Paraguay.
  • Gómez-Duarte C; Department of Ophthalmology, Faculty of Medicine Pontificia Universidad Javeriana Cali, Cali 760031, Colombia.
Int J Ophthalmol ; 17(6): 1042-1048, 2024.
Article em En | MEDLINE | ID: mdl-38895679
ABSTRACT

AIM:

To compare the safety and effectiveness of eyelid treatment with the ILux®-MGD Treatment System in one session versus five sessions of mechanical meibomian gland expression (MMGE) in patients with moderate to severe meibomian gland dysfunction (MGD).

METHODS:

A prospective, randomized, open-label, and controlled clinical trial that compared one session of the ILux® MGD Treatment System versus five sessions of MMGE in both eyes of 130 patients aged ≥18y with Ocular Surface Disease Index (OSDI) scores ≥13, total meibomian gland scores (MGS) of <15 in the lower eyelid of each eye, and non-invasive tear break-up time (NI-TBUT) <10s, who were randomized 11 to ILux® or MMGE.

RESULTS:

The mean age was 58±17.49y. Baseline total MGS scores in both treatment groups were comparable. During follow-up, there were significant differences in total MGS and per sector with P<0.001. Multivariate analysis was performed using generalized estimating equations corresponding to the generalized linear model for repeated means to determine the treatment relationship with total MGS, NIBUT, and OSDI. There was a significant difference between ILux® and MMGE (P<0.001) at follow-up from the first to the twelfth month in MGS, NI-BUT, and OSDI scores. No adverse events were reported.

CONCLUSION:

ILux® treatment compared to MMGE significantly improves symptoms and signs in patients with moderate to severe MGD for one year without adverse events.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Ophthalmol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: China