Posters

Thermal pulsations or conventional therapy for Meibomian gland dysfunction: how does treatment impact cataract surgery outcomes?

Poster Details

First Author: R.Shroff INDIA

Co Author(s):    D. Mathur   A. Aggarwal                 

Abstract Details

Purpose:

To compare the current standard of care (Hot fomentation and topical antibiotic ointments) vs LipiFlow in the treatment of MGD and to analyse changes in tear film characteristics in patients undergoing treatment. Secondary Objectives: To study the impact of treating MGD before cataract surgery on patient satisfaction following the procedure. To study the impact of tear film changes on corneal aberrations

Setting:

Tertary Eye Care Centre in North India ( Shroff Eye Centre)

Methods:

Prospective Randomized Single Centre interventional Hospital Study Consecutive patients undergoing cataract surgery were recruited Grading of MGD was performed by 3 independent observers. Patients with Obstructive MGD (With presence of at least 1/3rd of Meibomian glands) were randomized to traditional treatment with hot fomentation and antibitic ointment (Group 2 , n=30) and LipiFlow (Group 1, n=30) using a random number generator Patients with mild MGD were included in Group 3 ( no intervention arm,n=30). Objective criteria like Schirmers 1,2, TBUT, osmolarity, Meibo score,aberrations,Lipid layer thickness and SPEED score were studied in all the groups before and after teatment.

Results:

Schirmer 1 and 2  was significantly better in  Group 1 compared to Group 2 ( p =0.003). TBUT was significantly better in the Lipiflow group(9.66 +0.88) compared to conventional treatment ( 7.88 + 0.64) ( p=0.04). Meibo score, Abeerations and SPEED score were comparable between the two groups. Lipid layer thickness was significantly better i the Lipiflow group compared to the conventional treatment group ( p=0.002). Group 1 and 2 showed significant improvementt in parameters from the preoperative values after surgery

Conclusions:

Tretament of MGD before Cataract Surgery improves patient satisfaction after cataract surgery. Treatment with Lipiflow shows benefit over traditional therapy in patients with Moderate MGD. Further studies and a larger sample size are required to verify the same

Financial Disclosure:

... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented