Intense Pulse Light Treatment With Meibomian Gland Expression of the Upper Eyelids in Dry Eye Disease
| Status: | Completed |
|---|---|
| Conditions: | Ocular, Ocular |
| Therapuetic Areas: | Ophthalmology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/14/2019 |
| Start Date: | September 1, 2018 |
| End Date: | October 31, 2018 |
Evaluation of the Safety and Efficacy of Intense Pulse Light Treatment With Meibomian Gland Expression of Upper Eyelids for Dry Eye Disease
Upper eyelid treatment has not been used with previously described methods of treatment of
dry eye disease using intense pulsed light therapy because the upper lids disease was
typically not as advanced as lower lid and because direct treatment of the upper lid was not
felt to be necessary as each light pulse extended over the entire periorbita even when
concentrated on the lower lid.
dry eye disease using intense pulsed light therapy because the upper lids disease was
typically not as advanced as lower lid and because direct treatment of the upper lid was not
felt to be necessary as each light pulse extended over the entire periorbita even when
concentrated on the lower lid.
Dry eye disease is an under-diagnosed and growing problem. Intense pulsed light has been a
proven method of improving the signs and symptoms of meibomian gland dysfunction including
lid margin vascularity, meibum viscosity, OSDI mean score and tear break up. This study looks
at the safety and effect of treatment of upper lids only to evaluate the safety and efficacy
of direct upper lid treatment on the signs and symptoms of dry eye.
proven method of improving the signs and symptoms of meibomian gland dysfunction including
lid margin vascularity, meibum viscosity, OSDI mean score and tear break up. This study looks
at the safety and effect of treatment of upper lids only to evaluate the safety and efficacy
of direct upper lid treatment on the signs and symptoms of dry eye.
Inclusion Criteria:
- subjects older than 18
- cloudy or inspissated meibomian glands in both upper lids
- ocular pain due to dry eye unrelieved by current or prior use of conservative topical
dry eye medications including but not limited to over the counter artificial tears,
lifitegrast, cyclosporine, or sodium chloride.
Exclusion Criteria:
- Patients with eyelid abnormalities
- intense pulsed light treatment within the past year.
- Patients on oral retinoids,
- patients undergoing intraocular surgery within the past year,
- patients with uncontrolled ocular disease,
- Fitzpatrick skin type V or VI,
- neuro-paralysis in the planned treatment area in the past 6 months,
- pre-cancerous lesions in the planned treatment area.
- New topical eye treatments,
- previous expression of meibomian glands,
- legally blind in one eye.
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