Treatment of meibomian gland dysfunction in glaucoma patients. intense pulsed light,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Glaucoma patients treated with 1 or more eye drops that have MGD with more than or equal to 2 items as follows 1. redness or thickening lid margin 2. Telangiectasia 3. reduced secretions of meibum or poor quality secretion of meibum 4. Meibomian gland loss 5. abnormal tear break-up time (TBUT)
Exclusion criteria
Exclusion criteria: 1. there are other diseases of the eyelids and cornea. 2. have a congenital disease affecting the eyes. 3. having a history of corneal transplantation or glaucoma surgery. 4. have been punctual occlusion to treat dry eye before. 5. use eye drops that regularly affect the cornea, including antibiotics and anti-inflammatory drugs. 6. use the following drugs regularly: hormones that treat menopause symptoms (Estrogen, Progestin), Antihistamine, Anti-anxiety disorder and Tricyclic antidepressant, Retinoids 7. light allergies, facial herpes and epilepsy. 8. unable to cooperate with the examination with a slit lamp biomicroscopy and using an IPL 9. people with severe side effects from IPL lasers such as skin colour change that can be noticeable, allergic rash or scarring.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ocular surface symptom Visit 0, day15, day30, day45, day60, day75 Ocular surface symptom questionnaire,Ocular surface symptom Visit 0, day15, day30, day45, day60, day75 Ocular surface symptom questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Tear osmolality Visit 0, day75 Tear osmolality test card | — |
Contacts
Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University